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CONTRACTS 



MOST IMPORTANT 



Lift Insurance Companies 



OF THE 



United States of America, 



WITH 

ACCOMPANYING ESTIMATES AND TABLES. 



FOR THE USE OF AGENTS. 



'FEB 4 1888 

16.7S- 



JANUARY, 1888. 



.fa 



Entered according to Act of Congress, in the year 1888. by 

A. J. FLITCRAFT. 

in the office of the Librarian of Congress, at Washington. 



THIS BOOK IS MOST RESPECTFULLY 
DEDICATED 

TO THE 

FIELD -WORKERS OF LIFE INSURANCE 

BY THE 

AUTHOR. 



Chicago, III., January 20, 1888. 
To tlve Life Insurance Agents of the United States: 

Greeting.— During many years of field-work in Life Insurance the author of 
this volume has experienced the want of a book containing reliable and definite 
information as to the plans and methods of the several companies whose names 
are herein contained. 

The premium rates, guaranteed and estimated results in this book, are ex- 
tracted from Agents' Confidential Rate and Estimate Books, furnished them by 
the different companies. 

Much labor and expense has necessarily been involved to produce a work of 
this character. Nothing has been left undone to make it a "vade mecum " for Life 
Insurance solicitors. 

" Knowledge is power." 

Trusting that the use of this book will facilitate the arduous task of writing 
applications for Life Insurance. 

I am, with great respect, 

Fraternally yours, 

A. J. FLITCRAFT. 



COMPANIES. 

Commenced Business. 

.Etna, of Hartford. Conn January, 1850 

Berkshire, of Pittsfield, Mass September, 1851 

Connecticut Mutual, of Hartford, Conn December, 1846 

Equitable, of New York July, 1859 

Germania, of New York July, 1860 

Home, of Brooklyn, N. Y May, 1860 

John Hancock, of Boston, Mass ^December, 1862 

Manhattan, of New York August, 1850 

Massachusetts Mutual, of Springfield, Mass August, 1851 

Michigan Mutual, of Detroit, Mich August, 1867 

Mutual Benefit, of Newark, N. J April, 1845 

Mutual Life, of New York February, 1843 

National, of Montpelier, Vermont February, 1850 

New England Mutual, of Boston, Mass December, 1843 

New York Life, of New York April, 1845 

Northwestern Mutual, of Milwaukee, Wis November, 1858 

Penn Mutual, of Philadelphia, Penn May, 1847 

Phoenix Mutual, of Hartford, Conn May, 1851 

Provident Life and Trust Co., of Philadelphia, Penn June, 1865 

State Mutual, of "Worcester, Mass June, 1845 

Travelers', of Hartford, Conn July, 1866 

Union Central, of Cincinnati, Ohio March, 1867 

Union Mutual, of Portland, Maine October, 1849 

United States, of New York March, 1850 

Washington, of New York February, 1860 



iBTNA LIFE POLICY. 

This Policy is issued and accepted, upon the following express conditions and agreements: 

Section 1.— The answers, representations, and declarations contained in or indorsed 
upon the application for this insurance, which application is hereby referred to and made a 
part of this contract, are warranted by the insured to be true; and if this Policy has been 
obtained by fraud, misrepresentation or concealment, or if the insured shall commit suicide, 
or die in consequence of a duel, or in consequence of h...violation of any law wherever he 
may be, or if he shall become so far intemperate as to impair h...health, or induce delirium 
tremens, then in each and every of the foregoing cases this Policy shall be absolutely null 
and void, except as hereinafter provided in Section 9. 

Sec. 2.- This Policy shall not take effect until the advance premium hereon shall have 
been actually paid, during the lifetime of the insured; and if any subsequent premium on 
this Policy be not paid when due, during the lifetime of the said insured, then this Policy 
shall cease and determine — except as hereinafter provided; and no premium on this Policy 
shall be considered paid UDless a receipt shall be given therefor, signed by the president or 
secre'ary of the company. 

Sec. 3.— The said insured is permitted to reside in any settled portion of the United 
States and British America, excepting that he is not permitted to go south of the thirty- 
second parallel of north latitude, from the first day of July to the first day of November. He 
is also permitted to reside in any settled portion of the Eastern Hemisphere, lying north of 
the forty-second parallel of north latitude, and west of the fortieth meridian of longitude 
east from Greenwich, at all seasons of the year, and in Italy, south of said forty-second paral- 
lel, excepting from the first day of July to the first day of November; and he may also pass 
as a passenger by the usual routes and means of public conveyance, to and from any port or 
place within the foregoing limits; but if he shall, at any time during the continuance o 
this Policy, pass beyond or be without the foregoing limits, or shall be personally engaged in 
blasting, mining or submarine operations, or in the manufacture or transportation of explo- 
sive substances, or as an employee in any capacity, in service on any sea, river, lake, or other 
body of water, or upon any railroad, or if he shall enter into any military or naval service, 
whether voluntary or otherwise,— the militia when not in actual service alone excepted,— 
without the consent of this company previously given in writing, signed by the president or 
secretary, then, in each and every of the foregoing cases, this Policy shall become and be null 
and void, except as hereinafter provided in Section 9. 

Sec. 4.— Any assignment of this Policy shall be attached hereto, and a copy thereof fur- 
nished said company; and any claim against this company, arising under this Policy, made 
by any assignee, shall be subject to proof of interest; but in no case does the company guar- 
antee the validity of an assignment. 

Sec. 5.— All agreements made by this company are signed by its president or secretary. 
No other person can alter or waive any of the conditions of this Policy, or issue permits of 
any kind, or make an agreement binding upon the company. 

Sec. 6.— Permits for residence or travel outside of the limits prescribed above, or to 
engage in occupations hereby prohibited, may be granted at the option of the company, and 
on payment of extra premiums to be determined by it; which permits must be signed by 
the president or secretary of the company. 

Sec. 7.— When the premiums on this Policy have been paid for three years or more, 
and default thereafter occurs in the payment of any premium, a Paid-up Non-Participating 
Policy will be issued for such an amount as the surrender value of this Policy will purchase, 
at the then age of the insured, applied as a net single premium by the Actuaries' rate of 
mortality, and four per cent, interest: provided this Policy is surrendered and application 
made for said Paid-up Policy within twelve months from the time of the first default in the 
payment of premium, otherwise this Policy shall become and be null and void, except as 
provided in Section 9 of these conditions. No allowance will be made for this Policy, unless 
the premiums for three entire years are paid as they become due, nor thereafter except in 
paid-up insurance; and in determining the amount of Paid-up Policy to be issued, premiums 
paid for entire years only will be considered. 

Sec. 8.— After the expiration of three years from the date hereof, three full years' prem- 
iums having been paid and the age correctly stated, this Policy shall, after the death of the 
insured, be indisputable for the conditions named in Section 1; but the company reserves 
the right to enforce its provisions as to fraud, misrepresentation or intemperance during the 
lifetime of the insured. 

Sec. 9.— In every case when this Policy shall be or become void, if the premiums for 
three entire years have been paid, the amount which by the 7th section of these conditions 
would be applied to the purchase of a Paid-up Policy, shall not be forfeited to the said com- 
pany, but the same shall be due and payable in ninety days after satisfactory proof of the 
death of the said insured. 

FROM ^ETNA LIFE APPLICATION. 

Being desirous of effecting an insurance with the JETNA LIFE INSURANCE COMPANY, 

in the sum of dollars, upon the life of County of State of upon 

the plan, I do hereby declare and warrant, that age next birthday will be 

years; tnat now in good health, of sound body and mind, and do usually enjoy 

good health; and that the following answers and statements are correct and true, and that I 



6 



have not concealed, withheld or misrepresented any material circumstance in relation to the 

pa?: or present state of health, hahits of life or condition, which may render an insurance 

on life more than usually hazardous, or with which the directors of said company ought to 

be made acquainted; and do hereby declare that I have an interest in the life of the said 

to the full amount of the said sum of. doUars. 

I understand that all policies and agreements made by the said JEtna Life Insurance 
Company are signed by its president or secretary, and that no other person can grant insur- 
ance or make any agreement binding upon said company; and I do hereby agree that the 
declarations and warranties herein made, and the answers to the following questions, shall 
be the basis, and form part of the contract or Policy between me and the said company, and 
that if the same be in any respect untrue, the said Policy shall be void; and I further agree 
that the insurance hereby proposed shall not be binding on said company until the amount 
of premium, as stated therein, shall be received by said company, or an accredited agent 
thereof, in the lifetime of the said and a receipt given therefor, signed by the presi- 
dent or secretary of the company. 




BERKSHIRE LIFE POLICY. 

Conditions referred to in this Policy, and upon which it is accepted and held. 

That no agent, or other person, except the president, vice president, secretary or treasurer 
of the company, has power to extend the time for paying a premium, to issue a permit for 
residence, travel or occupation, or to bind the company by making any promise; that no 
representation or information can be received or have effect which is not contained in the 
application for this Policy. 

That all premiums are due and payable at the home office of the company in Pittsfield, 
Massachusetts, but will be accepted elsewhere, when duly made in exchange for the com- 
pany's receipt, signed by the president or secretary. 

That notice that each and every payment is due at the date named in the Policy, is given 
and accepted by the delivery and acceptance of this Policy, and that any further notice, 
required by any statute, is hereby expressly waived. 

That the person whose life is insured by this Policy shall not, without the written assent 
of the company, reside, travel, or visit outside the limits of the United States of America, the 
Dominion of Canada, Europe and the Bermuda Islands; but may make voyages upon the 
high seas in first-class vessels, by the usual routes, to and from ports within these limits. 

That the insured shall not, without the consent of the company in writing, engage in 
blasting, mining, submarine labor, aeronautic travel or excursions, the manufacture, handling 
or transportation of inflammable or explosive substances, service upon any railroad or any 
steamboat or other vessel, or in military or naval service of any kind in time of war. 

That the company shall not be held to have notice of any assignment of this Policy until 
the original, or a duplicate thereof, is filed in the company's home office; that the company 
will not assume any responsibility for the validity of an assignment, and that before payment 
of the Policy the claim of an assignee shall be subject to proof of interest. 

That no suit or proceeding shall be brought against the company under this Policy after 
the expiration of two years from the time when the right of action first accrues. 

That prompt notice of the death of the insured under this Policy shall be given to the 
company, and formal proofs thereof, in accordance with the rules of the company, shall be 
furnished within one year after the said death. 

That at the expiration of each period of five years from the date of this Policy, it shall, 
if then in force, be credited with its share of the distributive surplus of the company, as 
determined and apportioned by its board of directors. Such share shall be applied by the 
company in the purchase of additional insurance upon the person whose life is insured by 
this Policy, payable when the Policy becomes due. This additional insurance may be sur- 
rendered, and upon due acquittance being made, the cash value thereof will be paid, or it 
may be applied to the reduction of premiums. If the death of the insured should occur 
after a distribution of surplus to this Policy, and before the next period of five years has 
expired, a post mortem dividend will be paid with the Policy. No other distribution of 
surplus shall be made on account of this Policy. 



PROM BERKSHIRE LIFE APPLICATION. 

The following declaration and agreement must he signed by the person in whose favor the Policy is 
applied for, and by the person whose life is proposed for insurance: 

It is hereby declared and warranted that all the statements and answers above 
made are complete and true, and that they, together with this declaration and agreement, 
constitute an application to THE BERKSHIRE LIFE INSURANCE COMPANY, of Pittsfield, 
Massachusetts, for a policy of insurance, and are offered as a consideration for the Policy 
hereby applied for. And it is agreed that there shall be no contract of insurance until a 
Policy shall have been issued and delivered by the said company, and the first premium 
thereon paid while the person proposed for insurance is in the same condition of health 
described in this application, and if said Policy be issued, the declarations, agreements and 
warranties herein contained shall be a part thereof; and the contract of insurance, when 
made, shall be held and construed, at all times and places, to have been made and executed 
in the Commonwealth of Massachusetts. 

It is agreed in any distribution of surplus, the principles and methods which may be 
adopted by the company for such distribution, and its determination of the amount equitably 
belonging to such Policy, shall be and are hereby ratified and accepted by and for every 
person who shall have or claim any interest under said Policy, and that the receipt of the 
person whose life is insured may be accepted by the company in full surrender of all divi- 
dend additions to the Policy. It is also agreed that prompt notice of the death of the insured 
shall be given to the company, and formal proofs thereof, in accordance with the rules of 
the company, shall be furnished within one year after the said death. 



CONNECTICUT MUTUAL POLICY. 

This Policy is issued and accepted upon the following express conditions and agreements: 

1st.— That this contract of insurauce is wholly expressed and contained in this Policy and 
the application therefor, which is the basis of and a part of said contract, and a copy whereof 
is hereto annexed, and the several answers, warranties and agreements therein contained. 

'2d.— That this Policy shall not be in force and binding on this company nntil the advance 
premium hereon shall have been actually paid during the lifetime of the insured; and that if 
any subsequent premium, or installment of premium, on this Policy be not paid when due, 
then this Policy shall cease and determine and become and be null and void, except as here- 
inbefore provided after the payment of three or more annual premiums, and that no premium 
on this Policy shall be considered as paid unless a receipt shall be given therefor, signed by 
the president or secretary of the company, and such receipt is the sole evidence of the author- 
ity of any agent to receive any premium on account of this Policy; and that all premiums or 
other payments on account of this Policy are payable at the office of the company in Hart- 
ford, Conn., and not elsewhere; but for convenience of the person paying the same, such 
receipt may be sent to any agent or correspondent of the company for collection, and payment 
to such agent or correspondent shall be held to have been made at said office of the company. 

3d.— That the following risks are not assumed by this company under this contract: 

Death while residing or being, or from any disease contracted while residing or being, 
outside the Temperate Zones, or in that part of Asia between the fortieth and one hundred 
and tenth meridians of longitude east from Greenwich; or, between the first daj 1 " of June and 
the first day of the following November, within one hundred and fifty miles of the Gulfs of 
Mexico and California, or between the forty-second parallel of north latitude and the Tropic 
of Cancer in the Eastern Hemisphere, without the consent of the company previously given 
in writing: 

Death while personally engaged or employed, or from any accident or injury received 
while engaged or employed, in making any aeronautic voyage or excursion, or in blasting, 
mining, or in any submarine operations, or in the manufacture, handling, use, custody, or 
transportation of highly inflammable or explosive substances, or upon service on any ocean, 
sea, sound, inlet, river, lake, or railroad, or in any military or naval service whatsoever in time 
of war, whether voluntary or otherwise, or as a member of any paid fire department, without 
the consent of this company previously given in writing: 

Death in consequence of a duel, or in the violation of law, or in consequence thereof, or 
after conviction of felony ; 

The self-destruction of the insured, in any form, except upon proof that the same is the 
direct result of disease or of accident occurring without the voluntary act of the insured: 

Death in a state of drunkenness, or from any accident or violence received while in that 
state, or from any disease produced by or resulting from the occasional or habitual use of al- 
cholic or narcotic stimulants; and when there shall have been delirium tremens, or any 
injury to or impairment of the health from such use, this Policy shall thereupon and thereby 
be wholly forfeited and terminated: 

In each and every of the foregoing cases this Policy shall become and be null and void; 
but the company will, upon surrender and satisfactory release hereof within one year there- 
after, return to the assured the then net reserve upon this Policy, computed upon the Ameri- 
can Table of mortality and three per centum compound interest. 

4th.— That in every case in which this Policy shall cease and determine or shall become 
and be null and void, all premiums paid and moneys or credits held on account of the same 
shall be forfeited to this company, except as hereinbefore provided. 

5th.— That no assignment of this Policy shall be valid unless made in writing endorsed 
hereon; and any claim against this company, arising under this Policy, made by any assignee, 
shall be subject to satisfactory proof of interest in the life insured, in due form, and to any 
breach of the conditions of this contract by any of the parties hereto, whether such breach 
exist prior or subsequent to any such assignment; and such proof of interest shall be a con- 
dition precedent to any right of action on this contract by or on behalf of such assignee; and 
this company shall in no case be responsible for the validity of any assignment. 

6th. — That agents of the company have no power or authority to make, alter, change, or 
modify any of the terms, conditions, or agreements of this Policy, or to waive forfeitures 
thereof: and that no alteration, change, modification, waiver or subsequent agreement what- 
ever respecting this Policy shall be binding on said company unless made in writing signed 
by the executive officers thereof. 

FKOM CONNECTICUT MUTUAL APPLICATION. 

IT is hereby declared and warranted that the above are in all respects fair and 
true answers to the foregoing questions; and it is agreed by the undersigned that this appli- 
cation and the several answers, warranties and agreements herein contained shall be the basis 
of, a part of the consideration for, and a part of the contract of insurance, and that no state- 
ment or declaration made to any agent, solicitor, canvasser, examiner, or anyother person, 
and not contained in this application, shall be taken or considered as having been made to, or 
brought to the notice or knowledge of the company, or as charging it with any liability by 
reason thereof; and that if there be, in any of the answers herein made, any fraud, untruth, 
evasion, or concealment of facts, then any policy granted upon this application shall be null 
and void, and all payments made thereon shall be forfeited to the company. It is agreed that 
the policy hereby applied for shall, if granted, be held to be issued and delivered at Hartford, 
in the State of Connecticut, and shall be in all respects construed and determined in accor- 
dance with the laws of that State ; and that the provisions in said Policy for its continuance as 
paid-up insurance for a specified amount in case of failure to pay premiums, are and shall 
be in substitution for and in waiver of the rights of all parties nereto under any law of any 
state relating to the lapse of forfeiture of policies of life insurance. 



EQUITABLE (OF NEW YORK) FREE TONTINE POLICY. 
Provisions and requirements referred lo in this Policy. 

1. That, this Policy is issued under the Free Tontine Plan, the particulars of which are as 
follows: 

2. That the Tontine Dividend Period for this Policy shall be completed on the day 

of in the year. 

3. That no dividend shall he allowed or paid upon this Policy unless the person whose 
life is hereby assured shall survive the completion of its Tontine Dividend Period as afore- 
said, and unless this Policy shall be then in force. 

4. That all surplus or profits derived from such Policies on the Free Tontine Plan, as 
shall not be in force at the date of the completion of their respective Tontine Dividend 
Periods, shall be apportioned equitably among such Policies as shall complete their Tontine 
Dividend Periods. 

5. That upon the completion of the Tontine Dividend Period on provided this 

Policy shall not have been terminated previously by lapse or death, the said shall 

have the privilege cf the following options: Either, first, to withdraw in cash this Policy's 

entire share of the assets, i. e., the accumulated reserve, which shall be d liars, and 

in addition thereto the surplus apportioned by this society to this Policy; second, to surrender 
the Policy for a life annuity; third, to withdraw in cash the share of the accumulated surplus 
apportioned by said society to this Policy, and continue the Policy in force as a paid-up 
Policy; fourth, to continue the assurance for the original amount and apply the entire Ton- 
tine Dividend to the purchase of an annuity, the amount of which annuity, together with 

the annual dividend, if any, on this Policy shall be paid in cash to said or assigns; 

or fifth, to surrender the Policy for its entire value in paid-up assurance on which no further 
payments or premiums will be required. As, however, the amount of this paid-up assurance 
will exceed the amount of the original Policy, a satisfactory certificate of good health will be 
required from one of the medical examiners appointed by the society as a condition of its 
issue. If either the entire value or surplus be taken in cash, payment shall be made to 
the said and his receipt shall be a valid release to the society. 

6. In consideration of the agreement, as contained in the application for this Policy, the 
dividend declared at the termination of the Tontine Dividend Period, and thereafter if this 
Policy shall remain in force, shall be based entirely upon the experience of the society upon 
Free Tontine Policies. 

7. For one year after the date of issue of this Policy, travel and residence by the person 
upon whose death this contract matures, in Mexico and in all portions of the Torrid Zone, 
and engagement in any of the following occupations or employments: Blasting, mining, 
submarine labor, seronautic ascensions, the manufacture, handling or transportation of 
inflammable or explosive substances, service upon any railroad train, or in switching, or in 
coupling cars, or on any steamboat, or other vessel or boat, or military or naval service (the 
militia in time of peace excepted), will render this Policy void. 

8. Under this Policy, after one year from its register date of issue, there are no restrictions 
upon travel, residence or occupation, except service in war. In case of death from service in 
war, the net reserve of this Policy (computed according to the American Experience Table of 
Mortality, taking interest at four per centum per annum,) will be paid. 

9. Self-destruction, sane or insane, and death in consequence of a duel or of the viola- 
tion of law. within one year from the date hereof, are not risks assumed by ihe society in this 
contract. 

10. All premiums are due in the City of New York, at the date named in the Policy, hut, 
at the pleasure of the society, suitable persons may be authorized to receive such payments 
at other places, hut only on the production of the society's receipt therefor, signed by the 
president, vice president, actuary, secretary or assistant secretary, and countersigned by the 
person to whom the payment is made. No payment made to any person except in exchange 
for such receipt will be recognized by the society. All premiums are considered payable 
annually in advance. When the premium is made payable in semi-annual or quarterly 
installments, that part of the year's premium, if any, which remains unpaid at the maturity 
of this contract, shall be regarded as an indebtedness to the society on account of this con- 
tract, and shall be deducted from the amount of the claim ; and if any premium or install- 
ment of a premium on this Policy shall not be paid when due, this Policy shall be void; and 
no credit for surplus accumulated on this Policy shall be deemed applicable to the payment 
of any premium; nevertheless, nothing herein shall be construed to deprive the holder of 
this Policy of the privilege to demand and receive paid-up insurance in accordance with the 
agreement contained in this Policy. 

11. The contract between the parties hereto is completely set forth in this Policy, and the 
application therefor, taken together, and none of its terms can be modified, nor any forfeiture 
under it waived, except by an agreement in writing, signed by the president, vice president, 
actuary, secretary or assistant secretary of the society, whose authority for this purpose will 
not be delegated. 

12. If any statement made in the application for this Policy be in any respect untrue, 
this Policy shall be void ; provided, however, that discovery of the same must be made by the 
said society, and notice thereof given to the person whose life is hereby assured, within two 
years from the date hereof. Whenever this Policy becomes void, all payments which shall 
have been made to the society on account of this contract shall belong to and be retained by 
the society. 

lu 



13. The age of the person upon whose death this contract matures will be admitted by 
the society on due proof, but if not so admitted, proofs of age must be submitted with proofs 
of death, and the amount of insurance payable under this Policy at its maturity shall in no 
ca*e be more than the premium charged would have purchased by the society's rates in use at 
the register date hereof for such person's true age. If the person, at the termination of 
whose life this contract matures, should die more than two years after the register date 
hereof, then the amount assured shall become due immediately (and not sixty days) after 
notice and the proper proofs of the death shall have been furnished to the society, at its 
office in the City of New York. 



FROM EQUITABLE (OF NEW YORK) APPLICATION. 

I certify that I am temperate in my habits, and am, to the best of my knowledge and 
belief, in sound physical condition, and a satisfactory subject for life insurance. 

******* ****** 

Is it agreed that in consideration of the agreement contained in the Policy applied for as 
to paid-up assurance upon surrender, all right or claim to any other surrender value than 
that provided in the Policy shall be specifically waived and relinquished, whether required 
by the statute of any State or not ? 

************* 
It is hereby agreed: That all the foregoing statements and answers, as well as those 
made, or to be made, to the society's medical examiner, are warranted to be true, and are 
offered to the society as a consideration of the contract, which shall not take effect until the 
first premium shall have been paid during the life and good health of the person herein pro- 
posed for assurance. 



11 



GBRMANIA LIFE POLICY. 

Conditions and agreements of this insurance. 

This Policy shall cease and be null, void and of no effect; and the company shall not be 
liable for the payment of the sum assured, or any part thereof, but all premiums previously 
paid shall be the absolute property of the company, without any account whatever to be ren- 
dered therefor: 

If the premiums mentioned within, or any of them, shall not be paid on or before noon of 
the several days stipulated for the payment thereof respectively, or within three days thereof 
respectively (agents holding an appointment from the company are authorized to receive pre- 
miums at or before the time when due, only upon production and delivery of the receipt of 
the secretary of the company, but not to make, alter or discharge contracts or waive for- 
feitures) ; 

If the assured shall enter into any service in war ; but in case of death in, or in conse- 
quence of, such service after three or more full years' premiums shall have been paid, the net 
reserve of this Policy (computed according to the Actuaries' Table of Mortality, with interest 
at four per centum per annum) will be paid ; 

If within three years from the date hereof, the said assured shall visit, between the first 
day of July and the first day of November, those parts of the United States which lie south of 
Virginia, Kentucky, Missouri and Kansas; or pass beyond the limits of the United States, ex- 
cepting into the territory lying in America north of the United States; or enter upon a voy- 
age upon the high seas, except coastwise within the same latitudes and between the same 
days of the years, within and between which the said assured is at liberty to be or reside by 
the terms of this Policy ; but permission is hereby given to the said assured to travel at any 
time between those ports of the United States in which he or she is at liberty to be by the 
terms of this Policy, and the ports of Europe, and to travel and reside in Europe ; 

If within three years from the date hereof, the said assured shall enter upon service on 
any sea, sound, inlet, river, lake or railroad, as a mariner, engineer, fireman, conductor or 
laborer in any capacity; or, in the manufacture, handling or transportation of inflammable 
or explosive substances; or, in submarine operations or mining; 

If within three years from the date hereof, the said assured shall die by suicide, or by his 
or her own hand, or in consequence of an attempt to commit suicide, or to take his or her 
own life, whether sane or insane at the time; 

If within three years from the date hereof, the company discover and give notice to the 
said assured of the untruth in any respect of the representations made in the application for 
this Policy, upon the faith of which this contract is made. 

It is agreed by the said assured, that written notice shall be given to the company of any 
assignment of this Policy. 

It is also agreed, that this contract shall become valid only by delivery of this Policy, and 
upon payment of the first premium due, during the continued good health of the said 



FROM GERMANIA LIFE APPLICATION. 

The following Declaration and Agreement must be signed by the person in whose favor a Policy is 
applied for, and by ih^. person ivhose life is proposed for Insurance: 

It is hereby declared and agreed, that all the statements and answers to the 
printed questions written above, which, together with this declaration and agreement, con- 
stitute an application to THE GERMANIA LIFE INSURANCE COMPANY OF NEW YORK, 
for an insurance of dollars upon the life of are offered to the said com- 
pany as a consideration of the contract applied for; each of which statements and answers, 
whether written by his or her own hand or not, every person whose name is hereto subscribed 
adopts as his or her own, admits to be material, and warrants to be full, complete and true, 
and to be the only statements given to the company in reply to its inquiries, and upon which 
should the insurance applied for be granted, the company's contract will be founded. And 
this application is submitted to the said company, with the following express covenants and 
agreements : 1. That it will constitute no contract of insurance until a Policy shall first have 
been issued and delivered by the said company, and the first premium thereon actually paid, 
during the continuance of the life proposed for insurance, in the same condition of health as 
described in the application ; 2. That if the insurance applied for be granted by the company, 
the Policy, if accepted, will be accepted subject to all the conditions and stipulations con- 
tained in the Policy, and that the entire contract contained in the said Policy and in this 
application taken together shall be construed and interpreted, as a whole, and in each of its 
parts and obligations, according to the charter of the said company and the laws of the State 
of New York, the place of the contract being expressly agreed to be the principal office of the 
said company in the city of New York; 3. That in any distribution of surplus, the principles 
and methods which may be adopted by the company for such distribution, and its determin- 
ation of the amount equitably belonging to such Policy, shall be and are hereby ratified and 
accepted by and for every person who shall have or claim any interest under the contract now 
proposed ; 4. That if such Policy shall lapse by non-payment of premium, after having been 
in force three full years, the reserve thereon shall be applied, on demand made, with surren- 
der of the Policy within six months after such lapse, to purchase non-participating paid-up 
insurance, payable at the same time and under the same conditions as such original Policy, 
for the amount prescribed by the law of the State of New York. 



12 



HOME LIFE POLICY. 

Provided always, and it is hereby declared to be the true intent and meaning of this Policy, and the 
same is granted by this company, and accepted by the said upon these express conditions: 

That if the statements made by or for contained in the application bearing date the 

day of 1SS..., upon the faith of which this Policy is made (which statements 

makes own and warrants to be full, correct and true), or any part thereof, shall be found 

untrue, incomplete or deceptive in any respect; or in case the said shall not actually 

pay the first premium as aforesaid, before the delivery of this Policy, and while the said 
is in good health, or shall not pay or cause to be paid to this company the prem- 
ium as aforesaid, at its office in the City of New York, on or before the day or days before 
mentioned, at 12 o'clock noon, in each and every year during the continuance of this Policy. 

Or in case the said shall, without the written consent of this company, pre- 
viously obtained, engage in any of the following occupations or employments, to-wit: Blast- 
ing, mining, submarine labor, aeronautic travel, the manufacture, handling or transportation 
of inflammable or explosive substances, service upon any railroad, steamboat or other vessel 
or boat, military or naval service whatsoever (the militia not in actual service excepted); 

or shall die in consequence of a duel, or of the violation of law, then, and in every 

such case, the said company shall not be liable for the payment of the sum assured, or any 
part thereof, and this Policy shall cease, and be null, void and of no effect. 

And also, that in case the death of the said shall result from own act, sane 

or insane, within three years from the date of this contract, this company shall only be liable 
for the net reserve on this Policy, computed according to the legal standard of the State of 
New York. 

And also, that no statements, promises or conditions, made by any agent or solicitor, nor 
any statements or information made or communicated to any agent or solicitor other than 
such as are reduced to writing in the application for this Policy, shall in any manner change 
or qualify any of the provisions or warranties of this contract, and also that the party hereby 
assured acknowledges receipt of the notice printed on the margin of this Policy. 

And it is further stipulated and agreed, by and between the parties hereto, that each and 
every dividend of profits which may be made on this Policy shall be applied toward the 
payment of the accruing premium thereon, as the same shall fall due, or may be applied to 

increase the amount insured under this Policy, provided that the said shall furnish 

this company satisfactory evidence that is in sound and unimpaired health at each period 

that he shall request the dividend to be so applied. 

And also, that if this Policy shall, after the full amount of three annual premiums have 
been paid, by its terms lapse or become forfeited for the non-payment of any subsequent 
premium, this company will issue a Paid-up Non-participating Policy for such an amount as 
the reserve upon this Policy at the time of forfeiture, according to the legal standard of the 
State of New York, after deducting any indebtedness to this company under this contract, will 
purchase as a single premium at the published rates of this company, at the then age of the 

said...-. provided, that this Policy shall be surrendered to this company at its office in 

the City of New York within six months after said forfeiture. 

All premiums are due and payable at the office of the company, in the City of New York, 
on the day or days named in this Policy, but the same may be received elsewhere, at the 
option of the company, but no agent of this company, or any other person, is authorized to 
receive such payment, except upon the production of a receipt therefor, signed by the presi- 
dent or secretary. 

Notice is given and acknowledged that each and every such payment is due at the date 
named in this Policy, by the delivery and acceptance of it, and any further notice or notices 
required by any statute is hereby expressly waived. 



FROM HOME LIFE APPLICATION. 

The undersigned does hereby covenant and agree, to and with the HOME 
LIFE INSURANCE COMPANY, in consideration of the issuing of the Policy of assurance 
herein applied for, that the preceding answers given to the annexed questions, and the 
accompanying statements and this declaration shall be the basis and form part of the contract 
or Policy which may be granted on this application ; that the said answers are warranted to 
be full, correct and true; and that no circumstance is concealed, withheld or unmentioned in 
relation to the past or present state of the health, habits of life, occupation or condition of 
the said party whose life is to be insured, which can render an insurance on h...life more than 
usually hazardous or affect unfavorably h...prospects of life; and also that the assurance 
hereby proposed shall not be binding on said company until the premium thereon shall have 

been received by said company in the lifetime of the said and that it shall not 

continue in force in case of default of payment of any note or notes which may be given in 
part payment of the premiums thereon. And it is further covenanted and agreed that no state- 
ments, promises or conditions made by the agent taking this application, nor any statements 
or information made or communicated to said agent, other than such as are reduced to 
writing herein, shall in any manner be binding upon said company. And it is furtlier agreed 
that if the foregoing answers and statements be not in all respects full, true and correct, or if 
tb.3 premium shall not be promptly paid when due, or if the party whose life is insured shall 



die uy his or her own hand or agency, when sane or insane, within three years from date of 
said Policy, or by the hand or agency of the undersigned, the said Policy shall be void, and 
all moneys which may have been paid on account thereof shall be forfeited to said company. 
And also, it is furtlier agreed, that if any Policy issued under this application shall, after the 
full amount of three annual premiums have been paid, by its terms lapse or become forfeited 
for the non-payment of any subsequent premium, this company will issue a Paid-up Non- 
Participating Policy for such an amount as the reserve upon this Policy at the time of for- 
feiture, according to the legal standard of the State of New York, after deducting any 
indebtedness to this company, under this contract, will purchase as a single premium at the 

published rates of this company at the then age of the said provided, that this 

Policy shall be surrendered to this company at its office, in the City of New York, within six 
months after said forfeiture. And it is further stipulated and agreed by and between the parties 
hereto that each and every dividend of profits which may be made on this Policy shall be 
retained by the company, and shall be applied to the purchase of simple endowments in 

favor of the holder hereof, which shall mature and be payable only at the expiration of 

years from the date hereof, at which time the accumulations shall be payable in cash, or, if 
preferred, in additional insurance (if the insured is in sound health), or in the purchase of 
an annuity, or the company will pay for its surrender and cancellation, in addition to the 
accumulation from dividends, the full amount of the legal reserve according to the present standard 
of the State of New York, but only on condition that all the premiums hereon are paid as 
hereinbefore provided, and this Policy remains in force at that date. 




14 



JOHN HANCOCK POLICY. 

This Policy is made and accepted upon the following conditions: 



i If the said insured (except as herein permitted) shall pass beyond the limits of the United 
States, or approach within fifty miles of the Atlantic Ocean south of Fortress Monroe, of the 
Gulf of Mexico, of the Mississippi River south of Cairc> Illinois, or of the Red River, in the Pj 
State of Arkansas; or enter into any military or naval service (the militia not in actual service 
excepted); or shall be personally employed in any mine, or manufactory of explosive or 
highly inflammable materials; or on any railroad as brakeman or switchman, without the 
consent of this company, previously given in writing; or if any of the statements made in 
the application for this Policy, which is made a part hereof, are in any respect untrue ; pro- 
vided, such misrepresentation is made with actual intent to deceive and the matter misrepre- 
tented increases the risk of loss; then this Policy shall be null and void. 

The said insured has liberty to go on any voyage by water along the coast of the United 
States, Nova Scotia or New Brunswick, between the United States and Europe, and between 
the United States and Cuba; to travel in any part of the United States, except where yellow 
fever may be prevailing; to reside in Cuba between the first of December and first of April, 
and to reside and travel indefinitely in Europe. Turkey, Egypt, the Dominion of Canada and 
Newfoundland. 

It is further agreed that after this Policy shall have been in force for three full years, the 
liability of this company under the same shall not be contested, provided that the premiums 
shall be paid as stipulated herein, and that the provisions of this Policy as to residence, travel 
and occupation shall be complied with ; but if tbe age of the insured is not correctly stated in 
the application, no greater sum will be paid hereunder than the amount that the premiums 
paid hereon would have purchased at the rate in use at the date of this Policy for the true 
age of the insured. 

Said company shall have a right to set off any demand it shall have against the other 
parties to this contract, or either of them, their assigns or representatives, against any claim 
hereon. 

This Policy shall not take effect until the advance premium hereon shall have been paid, 
during the lifetime and good health of the insured, as per first premium receipt accompany- 
ing this Policy. 

No suit shall be brought against said company on any claim under this Policy, unless said 
snit is commenced within two years from the time when the right of action accrues. Any 
assignment of this Policy shall be void unless assented to in writing by the secretary of said 
company; and the claim of any assignee shall be subject to proof of interest. No person, 
except the president or secretary, is authorized to make, alter or discharge contracts, or waive 
forfeitures. This contract is made and to be performed in the Commonwealth of Massa- 
chusetts. 

If any premium or installment thereof on this Policy shall not be paid on or before the 
day when due, this Policy shall thereupon become forfeited and void, except as provided by 
Section 76 of the "Massachusetts Insurance Act of eighteen hundred and eighty-seven," 
which section is printed on the back of this Policy. 



FROM JOHN HANCOCK APPLICATION. 

1 hereby declare that I have given true answers to all the questions put to me by the 
medical examiner, and that I am the same person described in the accompanying application. 

Application is hereby made to the JOHN HANCOCK MUTUAL LIFE INSURANCE 

COMPANY for insurance on the life of of County of State of to the 

amount dollars ($ ), for the term of and with that view, and as the 

basis of such insurance, I make the following statements, including those made to the medi- 
cal examiner, which, it is hereby mutually agreed, shall form a part of the contract for this 
insurance. 



15 



MANHATTAN LIFE POLICY. 

Upon the following conditions: 

1. If any statement made in the application be in any respect untrue, or if any premium 
or interest on any note given on account of a premium be not paid when due, or if the in- 
sured die in consequence of any violation of law, or if he engage in any naval or military ser- 
vice except in the militia not in actual service, this Policy shall be void and all payments 
made upon it shall be forfeited to the company : except, after being in force three full years, 
this Policy shall be incontestable for any misstatement in the application except as to age, 
and if it should lapse or become forfeited for the non-payment of any premium or interest on 
any note given on account of a premium, the company will, upon the surrender of this Policy 
within six months after such lapse, issue a non-participating paid-up Policy for such sum as 
the legal net reserve on this Policy, at the time of lapsing, will purchase as a single premium at 
the company's present published rates. 

2. Proof of death shall be furnished to the company within two years after death, and 
shall contain full answers under oath to the questions in the company's blanks, and no suit 
shall be brought against the company on this Policy after two years from the time when the 
cause of action accrues. 

3. No provision of this contract can be changed or waived except by a written agreement 
igned by the president or secretary of the company. 



FROM MANHATTAN LIFE APPLICATION. 

And it is hereby warranted that the above statements and answers are full, complete and 
true in every particular, and they are offered as a consideration for the insurance applied for, 
but it is agreed that there shall be no contract of insurance until a policy shall be issued by 
the company, and accepted, subject to the stipulations and conditions therein contained dur- 
ing the good health of the person to be insured. And it is hereby agreed that if a Policy shall 
be issued and after being in force for three full years, shall lapse, or become forfeited for non 
payment of any premium, or of interest on a note given on account of a premium, the com- 
pany may, in consideration of the legal net reserve on the Policy at the time of lapsing, taken 
as a single premium, at the company's present published rates, issue a non-participating paid- 
up Policy, if demand be made, and the original Policy surrendered, within six months after 
such lapse, but if such demand and surrender be not made, all payments made on account of 
said Policy shall be forfeited to the company. 



16 



MASSACHUSETTS MUTUAL POLICY. 

This Policy is issued and accepted upon ihe following conditions: 

1. That the contract between the parties hereto is completely set forth in this Policy, and 
the application therefor, taken together, and none of its terms can he modified, nor any for- 
feiture under it waived, except by an agreement in writing, signed by the president or secre- 
tary, whose authority for this purpose will not be delegated. 

2. That the conditions respecting residence, travel and occupation or employment, pre- 
scribed on the back of this Policy, which are hereby referred to, and made a part hereof, shall 
not be Transgressed without the written consent of the president or secretary of the company. 

3. That this Policy is entitled to share in such distributions of surplus funds as the com- 
pany may, from time to time, make, according to the methods and rules adopted by the direc- 
tors ; provided, that in case this Policy shall become paid-up for an amount less than one hun- 
dred dollars, it shall not be entitled to share in any such distributions. 

4. That any assignment of this Policy, or of any interest therein, shall be void without 
the assent, in writing, of the president or secretary of the company, but such assent, if given, 
shall not be construed as guaranteeing the validity of any assignment. 

5. That if the insured shall die by suicide, or by his (or her) own hand or act, sane or in- 
sane, at any time during the first three years of the continuance of this contract, the company 
shall be liable only for the net reserve held against this Policy, reckoned according to the 
legal standard of Massachusetts. 

6. That if premiums are paid otherwise than wholly in cash, annually in advance, the 
remainder of the year's premium, and any obligation given for premium, shall always be an 
indebtedness against the Policy: that no insurance shall take effect under this Policy until 
the first premium hereby required is paid during the lifetime and continued good health of 
the insured ; that all premiums are payable to the company, at its said office in Springfield, 
but will be accepted elsewhere when duly made in exchange for the company's receipt, signed 
by the president or secretary, and such a receipt shall be the only evidence of the payment of 
any premium, or interest on any premium obligation; that a failure to pay any premium, or 
interest on any premium obligation, at or before the time when due, or a violation of any of 
the conditions of this contract, or any untrue statement in the application for this Policy, or 
the death of the insured in consequence of the commission of crime or the violation of law by 
him (or her), shall render this Policy void, and no claim shall exist for return of premiums or 
for share of surplus funds, and the company shall be released from all liability except such 
as may be imposed by the laws of Massachusetts at the date hereof. 

7. That in case of death no claim shall exist under this Policy, unless proof of the death 
is furnished to the company, in such form as it shall require, at its said office, within two 
years after the death of the insured, and no action shall be brought under this contract after 
two years from the time when the right of action accrues. 

Conditions respecting residence, travel and occupation or employment, referred to in this 
policy: 

1. The insured shall reside in the United States of America, the Dominion of Canada, in 
Cuba, or in Europe; but shall not, during the months of July, August, September and Octo- 
ber, reside in Cuba, or in those parts of the United States which are south of the thirty-sixth 
degree of north latitude and are either within one hundred miles of the Atlantic Ocean or the 
Gulf of Mexico or within fifty miles of the Mississippi or Ked River. 

2. The insured shall, during the first two years of the continuance of this Policy, travel 
only in those places and countries in which continuous residence is permitted by the first 
paragraph of these conditions, or from one such place or country to another and without re- 
maining (during the months of July, August, September and October) more than ten days in 
any one city or town where continuous residence is not permitted. 

3. The insured shall have the right, after this Policy has been in force two years, to travel 
for business or pleasure without restriction, provided that nothing in this paragraph shall be 
construed as permitting him (or her) to engage in any occupation or employment prohibited 
by the fourth paragraph of these conditions. 

4. The insured shall not engage in blasting, mining, subterranean or submarine labor, 
aeronautic travel or excursions ; the manufacture, handling or transportation of gun powder, 
nitro-glycerine, or other explosive material; services upon any railroad train, steamboat or 
other vessel or boat ; military or naval service of any kind in time of war. 



MASSACHUSETTS MUTUAL FIVE-YEAR DIVIDEND POLICY. 

Conditions, Provisions, Requirements and Benefits. 
Payment of Premiums.— Each premium is due and payable at the home office of the 
company, but will be accepted elsewhere when duly made in exchange for the company's 
receipt, signed by the president or secretary. Notice that each and every such payment is 
due at the date named in the Policy is given and accepted by the delivery and acceptance of 
this Policy, and any further notice required by any statute is expressly waived. That part of 
the year's premium, if any, not due and unpaid at the maturity of this contract, and any obliga- 
tion given for premium shall be deducted from the amount of the claim. If this Policy shall 
become void by non-payment of premium, all payments previously made shall be forfeited to 
the company, and no claim shall exist under it except such, if any, as is imposed by the laws of 
the Commonwealth of Massachusetts. No insurance shall take effect under this Policy until 
the first premium is paid during the life time and continued good health of the person pro" 
posed for insurance. 



17 



Residence, Travel and Occupation" ok Employment.— During the first two years 
of this Policy the insured shall travel and reside only in the United States of America, the 
Dominion of Canada and Europe, and shall not during its continuance engage in blasting, 
mining, subterranean or submarine labor, the manufacture or transportation of gunpowder, 
nitro-glycerine, or other explosive material ; services upon any railroad train, steamboat or 
other vessel or boat ; and military or naval service of any kind, in time of war, without the 
written consent of the president or secretary of the company. 

SUICIDE.— If the insured shall die by his (or her) own hand or act. sane or insane, at any 
time during the first two years of the continuance of this contract, the company shall be 

I liable only for the net reserve held against this Policy, reckoned according to the legal stand- 

j ard of Massachusetts. 

Dividends.— No dividend from the surplus of the company will be appropriated to. 
or payable on account of. this Policy until the expiration of five years from the date of its 
issue, and the payment of the premium then due for the next succeeding year. Nor will any 
dividend be appropriated to, or paid upon, this Policy if, under the provisions of Chapter 110 
of the Public Statutes of Massachusetts, it becomes a Policy for paid-up insurance by reason 
of failure to pay premium due at any time during the first five years from the date of the 
Policy. 

Proofs. — In case of death no claim shall exist under this Policy, unless proof of the 
death is furnished to the company, in such form as it shall require, at its said office, within \ 
two years after the death of the insured, and no action shall be brought under this contract | 
after two years from the time when the right of action accrues. 

Powers of Agents.— Xo agent has power on behalf of the company to make or modify 
this or any contract of insurance, to extend the time for paying a premium, or to bind the 
company by making any promise, or by receiving any representation or information not con- 

i tained in the application for this Policy. 

IAssign'mexts.— The company declines to notice any assignment of this Policy until the 
original or a duplicate or certified copy thereof shall be filed in the company's home office. 
The company will not assume any responsibility for the validity of an assignment. 

FKOM MASSACHUSETTS MUTUAL APPLICATION. 

It is hereby agreed that the foregoing statements are true, and that no insurance shall be 
in force until the acceptance of this application by the company, the delivery of the Policy to 
the insured or his agent, and the payment of the first premium as stated in the Policy, except 
as provided in such conditional receipt as may be given to the insured by the agent of the 
company, in case the insured shall answer the question in Item 20 in the affirmative. 




18 



MICHIGAN MUTUAL LIFE ENDOWMENT POLICY. 

This Policy is issued, and the same is accepted by the Insured, on the following conditions: 

1. The annual premium of., dollars and cents, shall he paid in advance 

to the company at its home office in the city of Detroit, or to its authorized agents, on the 

delivery of this Policy, and thereafter before twelve o'clock noon on the day of 

in every year during the continuance of this contract. This Policy shall not take effect unless 
the first premium is paid, or a note accepted therefor, nor unless the insured is in good health 
at the time of the delivery of the Policy. 

2. This Policy is subject to the limitations as to travel and residence, and occupation 
named on the hack hereof, and the same are made a part of this contract. This company 
does not insure against death in consequence of the violation of the law of any state or coun- 
try, nor against death cansed by the insured's own hand, unless on proof that such death 
resulted from accident or from insanity produced by disease and without the voluntary act 
of the insured. In case of the violation of any of these provisions, or if the statements in the 
application shall be found in any respect untrue, then this Policy shall be void and all pay- 
ments shall be forfeited to the company: except as herein provided, that after three years from 
the date of this Policy, and the payment in cash of three years' premiums, the liability of the 
company shall not be disputed because the death of the insured was caused by his own act, 
or because of any misrepresentations in the application not wilful, save that if the age of. the 
insured is unders rated the company shall be only liable for such an amount as the premiums 
received would have paid for at the rates charged by the company at this date for persons at 
the insured's real age. 

3. If the premiums are not paid as provided herein, then in every such case the company 
shall not be liable for the payment of the sum insured, and this Policy shall cease and deter- 
mine ; excepting only, that after due payment of premiums on this Policy for three or more full 
years, it will he valid as a paid-up non-participating Policy on the life of the said insured, 

payable as above provided, for as many parts of the whole amount hereby assured as 

there shall have been complete annual premiums paid, or after payment of three or more full 
years' premiums, the cash value thereof will be paid as expressed, and in accordance with the 
agreement on the back of this Policy. 

4. If the first or any subsequent premium on this Policy shall be settled wholly or in 
part by note or other obligation, whether of the beneficiary, the insured or any third party, 
such settlement shall not be deemed a payment, but only an extension of the time for the pay- 
ment of such premiums, and if such note or other obligation, or any renewal thereof shall 
not be fully paid when due, then for any loss occurring while such note or other obligation 
remains due and unpaid, the company shall not be liable, but the whole amount of the pre- 
mium included in such note or other obligation shall be considered as earned, and the com- 
pany may collect the same. 

5. If this Policy is assigned or held as security, written notice shall be given to the com- 
pany, and proof of interest produced with proof of death. The company will take no respon- 
sibility as to the validity of any assignment. 

6. No agent has power to change the terms of this contract, nor to extend the time for the 
payment of any premium. When a note is given for extension of time it shall be subject to 
the approval of the company. 

7. No suit arising out of this contract shall be begun more than one year after the death 
of the insured. 



PROVISIONS AND REQUIREMENTS REFERRED TO IN THIS POLICY. 

As Regards Traveling.— First. The person whose life is hereby insured, shall not 
pass south of the 34th parallel of north latitude, between the first days of July and November, 
in any year. 

Second. He shall not enter upon a voyage on the high seas, excepting to pass as passen- 
ger on first-class vessels along the coasts of the United States and the Dominion of Canada, or 
between said countries and parts of Europe north of the 42d parallel of north latitude, with- 
out first obtaining the written consent of the company. 

As Regards Occupations.— Third. The person whose life is hereby insured shall not 
engage in blasting, mining, sub-marine operations or the production of highly inflammable 
or explosive substances, or be regularly employed in working or managing a steam engine, 
in any capacity, or as a mariner, engineer, fireman, conductor, or laborer in any capacity 
upon service upon any steam or sail vessel, or upon railroad trains. Nor shall he enter any 
military or naval service whatsoever (the militia not in active service excepted), without first 
obtaining the written consent of the company. 

Notice.— Fourth. No agent has authority to deliver a renewal receipt upon this Policy 
after the day when the premium falls due, without at the same time taking a certificate of the 
good health of the insured. And whenever the company receives a premium after it is due, 
it does so on the express understanding that it does not establish a custom for the future. It 
expressly reserves the right to reject any premium tendered after the same becomes due. 

Fifth. The payment of any note or obligation received under the terms of this Policy, 
shall in no manner whatsoever be contingent upon conditions not expressed in such note or 
obligation. 



19 



Sixth. For the information of the assured, and in order that any unintentional errors or 
omissions which hereafter may be found to exist may be corrected, a copy of the application 
upon which this Policy is based is hereto attached. If corrections are desired, when satis- 
factory to the company, a certificate to that effect will be issued over the signature of the 
president or secretary. 

This Policy shall participate in profits as declared by the company: and when awarded, div- 
idends may be used in reduction of Lhe premiums, or to purchase additions, or they may be 
applied as provided in either of the following agreements. 

In Consideration of the request of the assured in the application for this Policy, it is 
issued on the Accumulative Plan, and it is understood and agreed that the profits on the same 
shall be left with the company, to be accumulated at the rates of interest earned on its assets, 
and when such accumulative profits, added to the reserve, shall amount to the sum insured, 
it shall be paid to ; or in case of the previous death of the person whose life is in- 
sured, the full amount of the Policy and accumulative profits shall then be paid, in accor- 
dance with the conditions of this Policy. 

In Consideration of the request of the assured in the application for this Policy, it is 
issued on the Dividend Investment Plan. And it is understood and agreed that no dividends 

shall be declared on this Policy until the end of the term of years, when the assured shall 

receive his portion of the fund provided by this class of policies, in proportion to the premi- 
ums paid by him. It is provided that the surviving policies of this class shall receive as a 
dividend all the surplus arising from their own policies, and also that forfeited under agree- 
ments of this class. It is further agreed that if the assured shall fail from any cause to pay 
the premiums upon this Policy for the time above mentioned, he shall not be entitled to re- 
ceive any portion of said fund. The share of each Policy at the end of the period named will 
be subject to the following options on the part of the holder: 

1st. He may take it in cash. 2d. He may convert it into an annuity to decrease his 
future premiums. 3d. He may apply it to the payment of his premiums. 

This agreement may be renewed at the end of the time stipulated, this Policy being in 
force as a premium-paying contract. 



FKOM MICHIGAN MUTUAL APPLICATION. 

I hereby declare, That the above are fair and true answers to the foregoing questions, 
and I hereby agree that these statements, with this declaration, shall form the basis of the 
contract for assurance, and that any untrue or fraudulent answers, any suppression of facts in 
regard to my health, habits or circumstances, or neglect to pay the premium on or before the 
day it becomes due shall violate the Policy, and forfeit all payments made thereon, except as 
provided in the Policy. It is hereby agreed that the Policy shall not be in force unless the 
premium is actually paid to the company or its authorized agent, or a note given and accepted 
in the place of such payment, during the lifetime of the person whose life is insured, and the 
Policy is actually delivered to the person for whose benefit is the insurance, during such life- 
time. And it is further agreed, that if the first or any subsequent premium on the Policy shall 
be settled wholly or in part by note or other obligation, whether of the beneficiary, the assured: 
or any third party, such settlement shall not be deemed a payment, but only an extension of 
the time for the payment of such premium ; and if such note or other obligation or any re- 
newal thereof shall not be fully paid when due, then, for any loss occurring while such note 
or other obligation remains due and unpaid the company shall not be liable, but the whole 
amount of the premium included in such note or other obligation shall be considered as 
earned, and the company may collect the same. 

The payment of any note or obligation received under the terms of this applica'ion shall 
in no manner whatsoever be contingent upon conditions not expressed in such note or obliga- 
tion. 



20 



MUTUAL BENEFIT POLICY CONDITIONS. 

Provided, that in case the said premiums shall not he paid on or hefore the several days 
hereinbefore mentioned for the payment thereof, at the office of the company, in the City of 
Newark, or to agents when they produce receipts signed by the president or treasurer, then, 
and in every such case, this Policy shall cease and determine, subject to the provisions of the 
company's Non-Forfeiture System, as indorsed hereon, with accompanying table. 

This Policy does not take effect until the first premium shall have been actually paid ; nor 
are agents authorized to make, alter or discharge this or any other contract in relation to the 
matter of this insurance, or to waive any forfeiture hereof, or to grant permits, or to receive 
for the cash due for premiums anything but cash. Any error made in understanding the age 
of the insured will be adjusted by paying such amount as the premiums paid would purchase 
at the table rate. 

No assignment of this Policy shall take effect until written notice thereof shall be given 
to the company. 

This Policy, after two years, will be incontestable, except for fraud or non-payment of 
premium. 

ORDINARY LIFE POLICY. 

810,000 issued -at age of hO years. 
Non-Forfeiture Proyisioxs.— When after two full annual premiums shall have 
been paid on this Policy, it shall cease or become void solely by the non-payment of any pre- 
mium when due, its entire net reserve by the American Experience Mortality, and interest 
at four per cent, yearly, less any indebtedness to the company on this Policy, shall be applied 
by the company as a single premium at the company's rates, published and in force at this 
date, either, first, to the purchase of non-participating term insurance for the full amount 
insured by this Policy, or, second, upon the written application by the owner of this Policy, 
and the surrender thereof to the company at Newark within three months from such non- 
payment of premium, to the purchase of a Non-Participating Paid-up Policy, payable at the 
time this Policy would be payable if continued in force. Both kinds of insurance aforesaid 
will be subject to the same conditions, except as to payment of premiums, as those of this 
Policy. No part, however, of such term insurance shall be due or payable unless satisfactory 
proofs of death be furnished to the company within one year after death; and if death shall 
occur within three years after such non-payment of premium, and during such term of 
insurance, there shall be deducted from the amount payable the sum of all the premiums 
that would have become due on this Policy if it had continued in force. 

The following table shows the amount that the company agrees to loan (being one-half of 
the reserve) upon a satisfactory assignment of the Policy as collateral security; also the addi- 
tional time for which the insurance will be continued in full force after lapse by non-payment 
of premium; or the value of the Policy in paid-up insurance upon surrender within three 
months from date of lapse. 

The figures given are based upon the assumption that the premiums (less current divi- 
dends) have been fully paid in cash. If there be any indebtedness upon the Policy, the 
values as stated in the table would have to be reduced proportionately upon the principles 
stated in the Policy. The indebtedness, if any, may be paid off in cash, in which case the 
figures in the table will apply. 





Company will 
Loan. 


IN OASE OF LAPSE OF POLICY. 


Number of Years 
Premiums Paid. 


Extended Insurance. 


Paid-up Policv. 












Years. 


Days. 




2 


$ 140 


2 


137 


$ 620 


3 


210 


3 


206 


920 


4 


290 


4 


262 


1,230 


5 


360 


5 


293 


1,530 


G 


440 


6 


289 


1,830 


7 


530 


7 


243 


2,120 


8 


610 


8 


160 


2,410 


9 


700 


9 


35 


2.700 


10 


790 


9 


235 


2,980 


11 


880 


10 


35 


3.250 


12 


970 


10 


166 


3,520 


13 


1,060 


10 


268 


3,780 


14 


1,160 


10 


343 


4,040 


15 


1,260 


11 


28 


4,290 


20 


1,760 


10 


362 


5,430 



FPOM MUTUAL BENEFIT APPLICATION. 
I hereby warrant that he is not intemperate in the use of stimulants or narcotics. I agree 
that the answers given herewith to the questions of the agent and examiner, which I declare 
and warrant to be true, shall be the basis of my contract with the company; and that such 
contract shall at all times and places be held and construed to have been made in the City of 
Newark, New Jersey. I also agree that if within two years from this date the insured shall, 
without the written consent of the company, reside or travel elsewhere than in or to the 
United States, Canada or Europe, or shall within such period, and without such consent, be 
personally engaged in blasting, mining, submarine operations, or in the making of explosives, 
or in service on any railway train, or on a steam or sailing vessel, or in naval or army ser- 
vice in times of war, the policy hereby applied for shall thereupon cease and determine. 



21 



CONVERTIBLE POLICY MUTUAL BENEFIT. 

$10,030; agehO; Twenty- Year Endowment . 

Non-Forfeiture Pro visions.— When after two full annual premiums shall have been 
paiu on this Policy it shall cease or become void solely by the non-payment of any premium 
when due, the entire net reserve value of the Policy, including dividend additions, by the 
American Experience Mortality and interest at four per cent, yearly, less any indebtedness to 
the company on this Policy, shall be applied by the company as a single premium at the com- 
pany's rates published and in force at this date, either, first, to the purchase of non-participa- 
ting term insurance for the full amount insured by this Policy, or, second, upon the written 
application by the owner of this Policy and the surrender thereof to the company at Newark 
within three months from such non-payment of premium, to the purchase of a non-participa- 
ting paid-up Policy payable at the time this Policy would be payable if continued in 
force. Both kinds of insurance aforesaid will be subject to the same conditions, except as to 
payment of premiums, as those of this Policy. No part, however, of such term insurance shall 
be due or payable unless satisfactory proofs of deaths be furnished to the company within one 
year after death; and if death shall occur within three years after such non-payment of pre- 
mium, and during such term of insurance, there shall be deducted from the amount payable 
the sum of all the premiums that would have become due on this Policy if it had continued 
in force. If the reserve be more than enough to purchase temporary insurance as aforesaid 
to the end of the endowment term, the excess shall be applied to the purchase of pure endow- 
ment insurance, payable at the end of the term if the insured be then living. 

And, after two full years' premiums shall have been paid, the company will, on surrender 
of this Policy fully receipted while in force or within three months from time of lapse, allow 
as a cash surrender value for the same, a sum not less than the full reserve value of the 
Policy, exclusive of dividend additions, computed by the above-named standard, deducting 
therefrom any indebtedness to the company on this Policy. 

The following table shows the minimum values of the Policy under the several options 
granted by the company. 

1st Option.— Cash surrender value. 

2d Option.— Amount that may be borrowed from the company on the Policy. 

3d Option.— Extended insurance for full amount of Policy, and cash endowment (if any) 
payable at end of Policy term. 

4th Option.— Paid-up Policy value. 



Number of 


Guaranteed 


Company 


IN CASE OF LAPSE OF POLICY. 








Years' Pre- 


Cash Surren- 


will 


Extended Insurance. 


Cash Payable 
at end of En- 


Paid-up 










miums Paid. 


der Value. 


Loan. 


Years. 


Days. 


dowment if 
Party lives. 


Policy. 


9 


s 641 10 


$ 320 


5 


261 




$ 1,080 


3 


987 50 


490 


8 


221 




1,610 


4 


1,346 00 


670 


11 


108 




2.130 


5 


1,720 10 


860 


13 


256 




2,650 


6 


2,110 90 


1.C60 


14 




$ 530 


3,150 


7 


2,518 80 


1,260 


13 




1,390 


3,660 


8 


2,944 90 


1.470 


12 




2,220 


4,150 


9 


3,390 00 


l,7r0 


11 




3,010 


4,630 


10 


3,855 10 


1,930 


10 




3.760 


5.110 


11 


4,341 30 


2,170 


9 




4,480 


5,580 


12 


4.850 00 


2.430 


8 




5,160 


6.040 


13 


5.383 00 


2,690 


7 




5,810 


6,500 


11 


5,942 00 


2.970 


6 




6,430 


6,950 


15 


6.523 30 


3.260 


5 




7.010 


7,390 


16 


7.147 50 


3.570 


4 




7.660 


7,900 


37 


7,799 70 


3,909 


3 




8.280 


8,420 


18 


8,489 40 


4.240 


2 




8,880 


8,910 


19 


9,221 20 


4.610 


1 




9.450 


9,470 


20 


10,000 00 


5.000 






10,000 


10.000 



Note.— The first ten years' Dividends that may be declared upon this Policy will be 
allowed only on the ''Addition" Plan. 

The Values of this Policy may, owing to Dividend Additions, be more than those above 
stated; but they cannot be less, provided there be no loan on the Policy requiring adjust- 
ment. 

Loans not made for less than twenty dollars. 



MUTUAL LIFE POLICY. 

FIVE-YEAR DISTRIBUTION POLICY. 

"o the provisions, requirements and benefits stated on the back of this Policy, which are hereby 
referred to and made part hereof. 

PROVISIONS, REQUIREMENTS AND BENEFITS. 

Payment of Premiums.— Each premium is due aud payable at the home office of the 
company, in the City of New York, hut will he accepted elsewhere when duly made in 
exchange for the company's receipt, signed by the president or secretary. Notice that each 
and every such payment is due at the date named in the Policy, is given and accepted by the 
delivery and acceptance of this Policy, and any further notice, required by any statute, is 
thereby expressly waived. That part of the year's premium, if any, which is not due and is 
unpaid at the maturity of this contract, shall be deducted from the amount of the claim. If 
this Policy shall become void by non-payment of premium, all payments previously made 
shall be forfeited to the company except as hereinafter provided. 

Dividends. -This Policy is issued on the Five- Year Distribution Plan. It will be ered- 
ited with its distributive share .of surplus apportioned at the expiration of each five years 
from the date of issue. Only Policies in force at the end of such terms, and entitled thereto 
by year of issue, shall share in such distribution of the surplus, and no other distribution to 
such Policies shall be made at any other time. All surplus so apportioned may be applied at 
the end of such periods to purchase additional insurance, or in payment of future premiums 
on this Policy, if requested in writing, or may then be drawn in cash. 

Paid-up Policy.— After three full annual premiums have been paid upon this Policy, 
the company will, upon the legal surrender thereof before default in payment of any pre- 
mium, or within six mouths thereafter, issue a non-participating Policy for paid-up insur- 
ance, payable as herein provided, for the amount required by the provisions of the Act of May 
2i, 1879, Chapter 347, Laws of the State of New York. 

Surrender.— This Policy may be surrendered to the company at the end of the fifth 
year from the date of issue, and eighty per cent, of the reserve (computed by the American | 
Table of Mortality and four and one-half per cent, interest), and the surplus as defined above, 
will be paid therefor. If surrendered at the end of the second or any subsequent five-year 
period, the full reserve by the same standard and the surplus as so defined will be paid. No 
cash value will be paid for a surrender at any other time or date. 



Notice.— No agent has power on behalf of the company to make or modify this or any 
contract of insurance, to extend the time for paying a premium, to bind the company by mak- 
ing any promise, or by receiving any representation or information not contained in the appli- 
cation for this Policy. 

Assignments.— The company declines to notice any assignments of this Policy until the 
original or a duplicate or certified copy thereof shall be filed in the company's home office. 
The company will not assume any responsibility for the validity of an assignment. 



FEOM MUTUAL LIFE APPLICATION (FIVE-YEAR DISTRIBUTION.) 

Subject to the charter of said company and the laws of said State. 

I HEREBY APPLY TO THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK, 

for § of insurance, on my life upon the plan year distribution. 

I certify that I am temperate in my habits, and am, to the best of my knowledge and 
belief, in sound physical and mental condition, and a satisfactory subject for life insurance. 

I hereby warrant and agree not to reside or travel in any part of the Torrid Zone, and not to 
engage in any specially hazardous occupation or employment during the next two years 
following the date of issue of the Policy for which application is hereby made, without first 
obtaining permission from this company ; and I also warrant and agree that I will not die by 
my own voluntary act during the said period of two years. 

The specialy hazardous occupations or employments herein referred to are : 1 

| Blasting, mining, submarine labor, aeronautic ascensions, Arctic explorations, the | 

■\ manufacture of highly explosive substances, service upon any railroad train, or in !- 

switching or in coupling cars, or on any steam or other vessel, or military or naval I 

i service in time of war. 

I also agree that all the foregoing statements and answers, as well as those that I make or 
shall make to the company's medical examiner, in continuation of this application, are by 
me warranted to be true, and are offered to the company as a consideration of the contract, 
which shall not take effect until the first premium shall have been paid, and the Policy shall 
have been delivered, during my life and continuance in good health. 



23 



MUTUAL LIFE TWENTY YEAR DISTRIBUTION POLICY. 

(MAX'S LIFE.) 
LIFE PLAN, ANNUAL PREMIUMS FOR TWENTY YEARS. 

Age, hO years; annual premium, pDG; amount, $20,000. 

In consideration of the application for this Policy, which is hereby made a part of 
this contract, THE MUTUAL LIFE INSURANCE COMPANY OF NEW YORK promises to 

pay, at its home office, in the city of New York, unto of in the county of 

State of his executors, administrators, or assigns, Twenty Thousand dollars, 

upon acceptance of satisfactory proofs at its said office of the death of the said 

during the continuance of this Policy, upon the following conditions, and subject to the 
provisions, requirements and benefits stated on the back of this Policy, which are hereby 
referred to and made part hereof: 

The annual premium of Seven Hundred and Ninety-Six dollars shall be paid in advance on 
the delivery of this Policy, and thereafter to the company, at its home office, in the City of 
New York, on the first day of June, in every year during the continuance of this contract, 
until premiums for twenty full years shall have been duly paid to said company. 

IN witness whereof, the said THE MUTUAL LIFE INSURANCE COMPANY OF 
NEW YORK has caused this Policy to be signed by its president and secretary, at its office, in 
the City of New York, the first day of June, A. D., one thousand eight hundred and eighty- 
seven. [Signed] 

[Signed] RICHARD A. McCURDY, President. 

Wm, J. Easton, Secretary. 



FROM APPLICATION (TWENTY YEAR DISTRIBUTION POLICY). 

I certify that I am temperate in my habits, and am, to the best of my knowledge and belief, 
in sound physical and mental condition, and a satisfactory subject for life insurance. 

I hereby ivarrani and agree not to reside or travel in any part of the Torrid Zone, and not to 
engage in any specially hazardous occupation or employment during the next two years 
following the date of issue of the Policy for which application is hereby made, and also not 
to engage in any military or naval service in time of war during the continuance of this Policy, 
without first obtaining permission from this company ; and I also warrant and agree that I 
will not die by my own voluntary act during the said period of two years. 

The specially hazardous occupations or employments herein referred to are:] 

Blasting, mining, submarine labor, aeronautic ascensions, Arctic explorations, the j 

■ manufacture of highly explosive substances, service upon any railroad train, or in j- 

switching or in coupling cars, or on any steam or other vessel, or military or naval I 

service in time of war. 

I also agree that all the foregoing statements and answers, as well as those that I make or 
shall make to the company's medical examiner, in continuation of this application, are by 
me warranted to be true, and are offered to the company as a consideration of the contract, 
which shall not take effect until the first premium shall have been paid, and the Policy shall 
have been delivered, during my life and continuance in good health. 



MUTUAL LIFE TWENTY YEAR DISTRIBUTION POLICY. 
PROVISIONS, requirements and benefits. 
(Printed on the back of and referred to in this Policy.) I 

Payment of Premiums.— Each premium is due and payable at the home office of the 
company, in the City of New York, but will be accepted elsewhere, when duly made in 
exchange for the company's receipt, signed by the president or secretary. Notice that each 
and every such payment is due at the date named in the Policy, is given and accepted by the 
delivery and acceptance of this Policy, and any further notice, required by any statute, is 
thereby expressly waived. That part of the year's premium, if any, which is not due and is 
unpaid at the maturity of this contract, shall be deducted from the amount of the claim. If 
this Policy shall become void by non-payment of premium, all payments previously made 
shall be forfeited to the company, except as hereinafter provided. 

Dividends. — This Policy is issued on the Twenty Year Distribution Plan. It will be 
credited with its distributive share of surplus apportioned at the expiration of twenty years 
from the date of issue. Only twenty year distribution Policies in force at the end of such 
term, and entitled thereto by year of issue, shall share in such distribution of the surplus, and 
no other distribution to such Policies shall be made at any previous time. All surplus so ap- 
portioned may be applied at the end of such period to purchase additional insurance, or in 
payment of future premiums on this Policy, if requested in writing, or may then be drawn in 
cash. After the expiration of the period of twenty years herein above provided for, the divi- 
dend distribution periods shall be changed to terms of five years each during the continuance 
of this Policy. But should the owner of the Policy at the end of said first period of twenty 
years, or at the end of any subsequent period of five years, elect to receive the dividends 
annually, the surplus applicable on this Policy will thereafter be apportioned at the begin- 
ning of each year on the anniversary of the date of this Policy, and may be applied as herein- 
before provided. 



24 



Paid-up Polio v. —After throe full annual premiums have been paid upon this Policy, the 
company will, upon the legal surrender thereof before default iu payment of any premium, or 
within six months thereafter, issue a Xon-Partieipatiug Policy for paid-up insurance, payable 
as herein provided for the proportion of the amount of this Policy which the number of full 
years' premiums paid bears to the total number required. 

Surrender.— This Policy may be surrendered to the company at the end of the said 
twenty years from the date of issue, and the full reserve computed by the American Table of 
Mortality, and four per cent, interest, and the surplus as defined above, will be paid therefor 
in cash. If surrendered at the end of any subsequent quinquennial dividend period, the full 
reserve, by the same standard, and the surplus as so defined, will be paid in cash. No cash 
value will be paid for a surrender at any other times or dates. 

Notice.— No agent has power, on behalf of the company, to make or modify this or any 
contract of insurance, to extend the time for paying a premium, to bind the company by 
making any promise, or by receiving any representation or information not contained in the 
application for this Policy. 

Assignments.— The company declines to notice any assignment of this Policy until the 
original or a duplicate or certified copy thereof shall be filed in the company's home office. 
The company will not assume any responsibility for the validity of an assignment. 

Note. — The Return Premium Policy is the same as above, except it contains clauses 
referring to Paid-up Policy and Return Premiums, as follows : 

^VYhole Premium Eeturn.— If this Policy shall become a claim by death during the 
first dividend period, as above provided, the whole of the premiums received during said 
period will be returned and paid with the amount of this Policy. 

Paid-up Policy.— After three full annual premiums have been paid upon this Policy, the 
company will, upon the legal surrender thereof before default in payment of any premium, or 
Avithin six months thereafter, issue a Non-Participating Policy for paid-up insurance, payable 
as herein provided, for the amount required by the provisions of the Act of May 21, 1879, Chap. 
347, Laws of the State of New York, but said Paid-up Policy shall not provide for any return 
of premiums. 




25 



NATIONAL LIFE POLICY. 

This Policy is issued and accepted upon the following conditions: 

That the statements and declarations made by and on behalf of the insured in the appli- 1 
cation for this Policy, which are hereby referred to as the basis of this contract, and are a part § 
thereof, and on the faith of which it is issued, are in all respects true, and that no fact has 
been suppressed relating to the health or circumstances of the insured affecting the interests 
oi' said company, or its indacements to accept the risk. 

That the insured may reside in the United States and its Territories (except in localities 
where yellow fever is prevailing at the time as an epidemic), and in the British Provinces, 
and travel in and make passages along the coasts thereof; may go to, return from, reside and 
travel in Europe and in the West Indies, between the mouths of November and May inclu- 
sive, and the islands of the Pacific Ocean. Provided, that if the insured shall, without pre- 
vious notice to the company, go and remain beyond the above limits, or engage in any 
miiitary or naval service, or engage in voyages upon the high seas as an occupation, or in 
blasting, mining or submarine occupations, or in the production or manufacture of highly 
inflammable or explosive substances, or in working a steam engine on land or water as engi- 
neer or fireman, or in a similar capacity, or as an employee on any railroad train — in every 
such case the insured shall pay an extra premium, equal to that charged in similar cases by 
other first-class companies in the United States. Avhich, if not paid at the time of the assump- 
tion of the risk, shall not invalidate this contract, but shall be a lien upon the Policy. 

That if the insured shall die by suicide or by his own hand, whether sane or insane, 
within three years from the date hereof, or in, or in consequence of, violating any criminal 
law of country, state or territory in which the insured may be, this Policy shall be void, but 
the ne^reserve held against this Policy, reckoned according to the legal standard of Vermont, 
at that date shall be paid to the parties in interest in this Policy. 

That in case of any indebtedness to this company from the assured, on account of this 
Policy, said Policy, and all sums due thereunder, shall be, and are hereby pledged to secure 
said indebtedness, and the company shall have a lien therefor on this Policy, and said debt 
or demand may be set off against the amount due hereon. 

That no suit shall be brought against the company for any claim under this Policy, unless 
said suit is commenced within two years from the time when the right of action accrues ; and 
also within three years from the termination of the life insured. 

That this Policy shall not take effect until the first premium is actually paid, and agents 
are not authorized to deliver the Policy to the insured until such payment has been made. 

No alteration or waiver of the conditions of this Policy shall be valid unless made in 
writing at the office in Montpelier, Vt, and signed by the president or secretary. 

Agents are alone authorized to receive premiums, on the day when payable, and not after- 
wards, upon presentation of the company's receipts, signed by the president or secretary, but 
cannot give credit, make, alter or discharge contracts nor waive forfeitures. 

Notice of assignment of this Policy must be sent to the home office, and the assent of the 
company obtained to same; the company will not, however, assume any responsibility as to 
validity of assignment. 

In case any premium or any part thereof, or any note given therefor, shall not be paid on 
the day when due, this Policy shall thereupon lapse and determine; except that, after three 
full annual premiums have been paid, the company guarantees either continued insurance 
for the full amount of Policy to such period as the reserve will extend it, a cash surrender 
value, or a paid-up Policy. If no election is made within sixty days after date of lapse, a 
paid-up Policy will be issued and this Policy cancelled. 

This Policy, after three years, will be incontestable except for fraud or non-payment of 
premium. 

FROM NATIONAL LIFE APPLICATION. 

Are the statements and declarations made by and on behalf of the person to be insured in 
the bond hereby applied for (and which are hereby referred to as the basis of the contract and 
as a part thereof, and on the faith of which the bond is to be issued,) in all respects true? 
And has any fact been suppressed relating to the health or circumstances of the insured 
affecting the interest of said company, or their inducements to accept the risk? 



l A<6 



NEW ENGLAND MUTUAL, POLICY. 

This Folicy is issued by the company, and accepted upon the following express conditions: 

That the statements and declarations made in or attached to the application for this 
Policy, -which ar.± hereby referred to as the basis of this contract and are a part thereof, and 
on the faith of which it is issued, are in all respects true, and that no fact has been suppressed 
relating to the health or circumstances of the insured affecting the interests of said company 
or their inducement to accept the risk. 

The insured may reside in the United States and its Territories (except in localities where 
yellow fever is prevailing at the time as an epidemic), and in the British provinces, and travel 
in and make passages along the coasts thereof; and may go to, return from, reside and travel 
in Europe, the "West Indies (between the months of November and May inclusive), and the 
islands of the Pacific Ocean. 

The insured may, without previous notice to the company, go and remain beyond the 
above limits (except where yellow fever is prevailing as an epidemic), or may engage in any 
military or naval service, or engage in voyages upon the high seas as an occupation, or in 
blasting, mining or submarine operations, or in the production or manufacture of highly 
inflammable or explosive substances, or in working a steam engine, on land or water, as engi- 
neer or fireman, or in a similar capacity, or as an employee on any railroad train, but in such 
case he shall pay for remaining beyond the above limits of residence or travel, or for the risk 
of military or naval service in time of war, or for any of said occupations, an extra premium, 
equal to that charged by the company in similar cases, which, if not paid at the time of the 
assumption of the risk, shall not invalidate this contract, but shall be a lien upon the Policy, 
and deducted therefrom, with interest, upon its payment. 

Any assignment of this Policy shall be void unless assented to in writing by said com- 
pany, but the Policy shall not be invalidated thereby ; 

In case of any indebtedness due to this company from the assured, this Policy and all sums 
due thereunder, are hereby pledged to secure said indebtedness, and the company shall have 
a lien therefor on this Policy ; and said debt or demand may be set off against the amount due 
thereon. 

This Policy is payable only at the office of the company, at Boston, from which it is issued, 
and is a Massachusetts contract; and as to its conditions, restrictions and agreements, and as 
to the validity of any assignment thereof, shall be governed by the law of Massachusetts. 

The loss shall be payable whenever satisfactory proof thereof shall have been furnished at 
the office in Boston, by the sworn certificate of the attending physician, if there were any, and 
the full and particular statement, under oath, of at least one competent and disinterested wit- 
ness, stating the time, place, cause and circumstances of the death of the insured. 

No suit shall be brought against the company on any claim under this Policy, unless said 
suit is commenced within two years from the time when the right of action accrues, and also 
within three years from the termination of the life insured. 

This Policy shall not take effect until the first premium is actually paid, and agents are 
not authorized to deliver the Policy to the assured until such payment has been made. 

General agents appointed directly by the company are alone authorized to receive pre- 
miums at the day when payable, and not afterwards, but cannot give credit, or make, alter, 
or discharge contracts, or waive forfeitures, and no alteration or waiver of the conditions of 
this Policy shall be valid unless made in writing at the office in Boston, and signed by the 
president or secretary. 

All premiums due under this Policy shall be paid in advance, but any annual premium 
may, at the election of the assured, be paid in cash, either in one sum or in semi-annual or 
quarterly installments, to be secured by the notes of the assured, it being understood that the 
company assumes no risk for the period covered by such deferred payments, but only for that 
portion of the year for which the premium shall have been actually paid IN CASH, in ad- 
vance, and that in case of loss all such deferred payments are to be deducted from the amount 
payable. 

This Policy shall be void if the insured shall die in, or in consequence of a duel, or by the 
hands of justice, or in the violation of, or attempt to violate, any criminal law of the United 
States, or of any state or country in which the assured may be. 

This Policy shall be void if the insured shall die by his own hand or act, whether sane or 
insane, within three years from the date hereof, but the company agrees to pay upon the 
Policy thus voided the net reserve held against it, reckoned according to the legal standard of 
Massachusetts. 

FKOM NEW ENGLAND MUTUAL APPLICATION. 

Does the applicant warrant the truth of all the foregoing answers, and agree that they are 
a part of the contract of insurance, and that if any answer to the above questions, in this 
statement, is fraudulent or untrue, or if there is any concealment of fact bearing upon the 
proposed risk, whether inquired about or not, or any non-compliance with the terms and 
conditions of the Policy, and the rules of the company, it shall vitiate the insurance, and 
that, in such cases, no return of premium shall be made ? 



27 



NEW YORK LIFE POLICY. 

PROVISIONS AND REQUIREMENTS REFERRED TO TS THIS POLICY. 

NON-FORFEITING TONTINE. 

This Policy is issued on the Non- Forfeiting Limited- Tontine Policy Plan, the partieidars of ichich 

are as follows: 

. That the Tontine Dividend Period for this Policy shall he completed on the day of 

in the year 

That no dividend shall he allowed or paid upon this Policy unless the person whose life is 
hereby insured shall survive until completion of its Tontine Dividend Period and unless this 
Policy shall then be in force. 

That surplus of profits derived from such Policies on the Non- Forfeiting Limited- Tontine 
Policy Plan as shall not be in force at the date of the completion of their respective Tontine 
Dividend Periods, shall be apportioned among such Policies as shall complete their Tontine 
Dividend Periods. 

That after the completion of the Tontine Dividend Period, provided this Policy shall not 
have been previously terminated, this Policy shall secure to the person whose life is hereby 
insured one of the following benefits: First — to apply the accumulated dividend to the pur- 
chase of an annuity on the said person whose life is hereby insured in one of the following- 
forms: a, an annuity for the number of years that premiums are payable beyond the Tontine 
Period, to be used ia reduction of subsequent premiums on this Policy, and in case the amount 
accruing in any year from the annuity, together with dividends that may thereafter be de- 
clared on this Policy, shall exceed the amount of premium due thereon, the excess to be paid 
in cash; or, &, if the payment of premiums is completed, an annuity for the whole term of life. 
Second — To continue the Policy for the original amount and withdraw the accumulated sur- 
plus apportioned by the company to this Policy in cash. Third — to withdraw in cash the 
entire equity (that is, the reserve, according to the present legal standard of the State of New 
York, and in addition thereto the accumulated surplus aforesaid). Fourth — To convert the 
entire equity into a Paid-up Policj', without participation in profits, for an amount to be 
determined by the method then in use by the company in determining Paid-up Policies of 
this class; provided that should the amount of such Paid-up Policy exceed the original 
amount of the insurance, it is made a condition precedent to its issue, first, that a medical 
examination of the party whose life is hereby insured, made by an approved examiner upon 
the blank provided by the company for that purpose, is furnished by the applicant at his own 
expense; second, that such medical examination is approved by the medical board at the 
home office of the company, and the risk is recommended by them; and, third, that this 
Policy is legally surrendered during the lifetime of the insured, and within ninety days from 
the termination of the Tontine Dividend Period. Fifth — the conversion of the entire equity 
into a life annuity, upon the life of and payable to the said person whose life is hereby 
insured. These benefits are at the option of the person whose life is hereby insured, but it 
is understood and agreed that not less than three months prior to the termination of the Ton- 
tine Period the said person whose life is hereby insured shall notify the company, in writing, 
which benefit is selected, and if no such notification shall be received, then, and in that case, 
the accumulated surplus shall be applied to the purchase of an annuity in one of the forms 
stipulated in the "first benefit" named above. 

That in the payment of premiums upon this Policy, falling due within the selected Tontine 
Period, a grace shall be allowed of one month ; provided, that in all cases when this grace is 
availed of, a fine at the rate of ten per cent, per annum shall be paid to the company for the 
time deferred. 

If the person whose life is hereby insured shall travel or reside beyond the settled limits 
or the protection of the government of the United States (excepting in the settled limits of 
the Dominion of Canada, Prince Edward's Island or Newfoundland), or, between the first day 
of July and the first day of November, south of a line beginning at the point of intersection of 
the northerly boundary of North Carolina with the Atlantic coast, thence running westerly 
along the said northerly boundary to a point one hundred miles from the coast; thence in a 
southwesterly direction, continuing one hundred miles from said coast to the thirty-fourth 
parallel of latitude ; thence westerly along said parallel to the westerly border of Alabama 
(excepting the city of Atlanta and an area within a radius of fifty miles around it) ; thence 
northerly along the westerly border of Alabama and along the Tennessee River to the north- 
erly boundary of Tennessee; thence westerly along the northerly boundary of Tennessee and 
Arkansas, extended to the ninety-seventh degree of west longitude; thence southerly to the 
thirty-second parallel of north latitude ; then westerly along the said parallel to the Pacific 
Ocean; or shall enter upon a voyage upon the high seas (except as hereinafter specified), or 
shall be personally engaged in blasting, mining, submarine operations, seronautic travel or 
excursions, or the manufacture or transportation of highly inflammable or explosive sub- 
stances, or in working or managing a steam engine in any capacity, or as mariner, engineer, 
fireman, conductor, express messenger, or laborer in any capacity upon service on any sea, 
sound, inlet, river, lake or railroad, or shall enter any military or naval or paid fire depart- 
ment service whatsoever (the militia when not in actual service excepted), without the consent 
of this company in each or either of the foregoing cases previously given in writing; or if he 
shall die in, or in consequence of a duel, or the violation of the laws of any nation, state or 
province; or if death shall be caused by or in consequence of the use of intoxicating drink, 
opium or other narcotics; or if the first premium herein shall not have been actually paid 



28 



during the continuance of the life in the same condition of health as described in the appli- 
cation : or if any of the statements or representations made in the application for this Policy 
shall be found in any respect untrue, then, and in every such case, this Policy shall be null 
and void: and all payments previously made shall be forfeited to the company, and no action 
or right of action shall remain to, or be maintained against this company by, the assured or 
any other person, by virtue of this Policy. 

The person, whose life is hereby insured has permission to pass as passenger, by direct 
route, in first-class vessels, as follows: First, to and from Europe (travel and residence wherein 
is hereby permitted) ; second, to and from California, and along the coasts of Nova Scotia, New 
Brunswick, and the United States, between Cape Canso and the Rio Grande (provided that no 
port is entered in which residence at the time of such entrance is prohibited) ; third, between 
ports on the East Pacific coast, north of 32° of north latitude; fourth, between ports on the 
East Pacific coast, north of 32° of north latitude, and ports in the Sandwich Islands, China 
and Japan. 

Inasmuch as only the officers at the home office of the company, in the City of New York, 
have authority to determine whether or not a Policy shall issue on any application, and as 
they act on the written statements and representations made in the application for this Policy, 
it is expressly understood and agreed that no information, statements or representations made 
or given by or to the person soliciting or taking the application for this Policy, or to any other 
person, shall be binding on the company, or in any manner affect its rights, unless such 
information, statements or representations have been reduced to writing and presented to the 
officers of the company, at the home office, in the application referred to. 

No agent has power, in behalf of the company, to make or modify this or any contract of 
insurance, to extend the time for paying a premium, to issue a permit for residence, travel or 
occupation, or to bind the company by making any promise or receiving any representation 
or information. This power can be exercised only by the president, vice-president or actuary 
of ths company, and will not be delegated. 

Receipts for premiums are not valid unless signed by the president, vice-president or 
actuary. No payments made to any person, except in exchange for such receipts, counter- 
signed by the person to whom the payment is made, will be recognized by the company. All 
premiums are considered payable annually in advance. When the premium is made payable 
in semi-annual or quarterly installments, that part of the year's premium, if any, which 
remains unpaid at the maturity of this contract, shall be regarded as an indebtedness to the 
company on account of this contract, and shall be deducted from the amount of the claim. 
Notice that each and every payment of premium is due at the date named in^the Policy is 
given and accepted by the delivery and acceptance of this Policy, and any further notice 
required by any statute is thereby expressly waived. The giving of any other notice or the 
acceptance of any premium after it is due is to be considered as an act of courtesy only, and 
shall not be deemed as establishing a custom or as waiving or disturbing any of the condi- 
tions as to payment of premiums thereafter due. 

In case the cash value of any dividend that may be declared to this Policy is allowed, the 
receipt therefor of the person whose life is hereby insttred shall be a valid release to the 
company. 

This Policy and the accompanying application constitute a contract made and to be exe- 
cuted in the State of New York, and shall be construed only according to the charter of the 
company and the laws of that State, and (unless otherwise mutually agreed in writing) no 
suit shall be brought against the company on this Policy except in the courts of that State, or 
in the circuit or district courts of the United States, nor shall any such suit be brought after 
the lapse of one year from the time when the cause of action accrues. 

The proofs of death shall be furnished to the company at its office, in the City of New 
York, within one year after death, and shall contain full answers, under oath, to the questions 
in the company's blanks, among which shall be included (1) an account of each claimant's 
interest in the Policy; (2) a statement from each physician who attended the deceased within 
a year before death; (3) a statement from a responsible householder who knew the deceased; 
(4) a statement of the undertaker; (5) and of a clergyman, whenever one officiates. The 
omission of any of the answers or statements required must be satisfactorily explained and 
supplied by other proofs. 

Any assignment of this Policy must be made in duplicate, and both copies must be sent 
to the home office for acknowledgment, one of them to be retained by the company. Under 
no circumstances will the company assume any responsibility for the validity of any assign- 
ment. 



NEW YORK LIFE (NEW PLAN) 20-YEAR GUARANTEED 
INTEREST BOND. 

1st. Amount of Bond, $1,000, payable at death, whether within the twenty years or 
thereafter. 

2d. If death occurs within the twenty years, the face of the Bond shall be paid in cash: 
and if the total premiums paid, compounded at four per cent., shall exceed the face of said 
Bond, then such excess shall be paid as a Mortuary dividend in addition thereto. 

3d. In case of discontinuance after three years, paid-up value will be given for as many 
twentieths of the face of the Bond as there have been annual premiums paid, together with 
four per cent, interest annually on the total premiums paid, such interest beginning after the 
twenty years. 



29 



4th At the end of twenty years the bond is full paid, and the surplus apportioned by the 
company may be withdrawn in cash. The company absolutely guarantees to pay the holder 
of said Bond every year thereafter, till death, four per cent, interest on the total amount of 
premiums paid, together Avith such annual dividend as may be declared. 

RATES AND ESTIMATES ON TWENTY-YEAR BOND. 















4 Per Cent. 




Age 


Annual 


Total Premi- 


Cash Value 


Surplus 


Interest on 
Amount 


Annuity 


at Issue. 


Premium. 


ums Paid in. 


Estimated. 


Estimated. 


Paid in 
Guaranteed. 


Estimated. 


25 


$49.40 


$ 9S3 


$1,531.40 


$ 531.40 


§39.52 


$110 : 26 


30 


50.50 


1,010 


1,565.50 


565 . 50 


40.40 


125.24 


35 


52.40 


1.048 


1,624.40 


624.40 


41.92 


144.57 


40 


55.90 


1,118 


1,732.90 


732.90 


44.72 


177.62 


45 


62.10 


1,242 


1,925.10 


925.10 


49.63 


231.01 


50 


73.(30 


1,472 


2.2S1.60 


1,281.60 


58.88 


319.42 

















NEW YORK LIFE POLICY. 

(FIVE-YEAR DIVIDEND.) 

Provisions, requirements and benefits referred to in this Policy. 

No agent has power in behalf of the company to make or modify this or any contract of 
insurance, to extend the time for paying a premium, to waive any forfeiture, to issue a per- 
mit for residence, travel or occupation, or to bind the company by making any promise or 
receiving any representation or information. This power can be exercised only by the pres 
ident, vice-president or actuary of the company, and will not be delegated. 

Inasmuch as only the officers at the home office of the company in the City of New York 
have authority to determine w T hether or not a Policy shall issue on any application, and as 
they act on the written statements and representations made in the application for this 
Policy, it is expressly understood and agreed that no information, statements or representa- 
tions made or given by or to the person soliciting or taking the application for this Policy, or 
by or to any other person, shall be binding on the company, or in any manner affect its rights 
unless such information, statements or representations have been reduced to writing, and 
presented to the officers of the company at the home office, in the application referred to. 

Ml premiums are due and pa}-able at the home office of the company unless otherwise 
agreed in writing, but may be paid to agents producing receipts signed by the president, vice- 
president or actuary, and countersigned by such agents. Notice that each and every payment 
of premium is due at the date named in the Policy, is given and accepted by the delivery and 
acceptance of this Policy, and any further notice required by any statute is hereby expressly 
waived. The giving of any other notice or acceptance of any premium after it is due, is to 
be considered as an act of courtesy only, and shall not be deemed as establishing a custom or 
as waiving or disturbing any of the conditions as to payment of premiums thereafter due. 

This Policy does not insure against death occurring while engaged in military or naval 
service in time of war or insurrection, or in consequence of such service or being engaged in 
the manufacture of gunpowder, dynamite or other explosive substances, or in a duel or viola- 
tion of law, and shall be null and void in case of the death of the insured from any of these 
causes, but on its surrender within six months thereafter, with satisfactory proofs of death, 
the net reserve (computed by the American Table of Mortality and interest at four and one- 
half per cent.), after deducting all indebtedness to the company, will be paid therefor. 

Surplus will be apportioned to, this Policy only at the expiration of each period of five 
years from the date of the commencement of the insurance, and then only if this Policy is in 
force. Such apportionments will be made in the form of reversionary additions ; but the value 
of the same may, at the option of the insured, be taken in cash, or applied to the reduction of 
premiums during the next five-year period, or to the permanent reduction of all future pre- 
miums. "When the value is taken in cash, payment shall be made to the insured, and his re- 
ceipt shall be a valid release to the company. 

Besides the surplus to be apportioned at the expiration of each five-year period as above, 
if this Policy shall become a claim by death during the first or any succeeding five-year period, 
a mortuary dividend of fifty per cent, of the premiums paid in the five-year period in which 
death occurs will be apportioned and paid with the amount of the Policy. 

This Policy maybe surrendered to the company at the expiration of the first or any subse- 
quent five-year period, upon thirty days' previous written notice. At the expiration of the 
first period, eighty per cent, of its reserve (computed as hereinbefore specified), and in addi- 
tion thereto the surplus then apportioned, will be allowed as a surrender value. At the end 
of any subsequent period the entire reserve (computed as hereinbefore specified), and in ad- 
dition thereto the surplus then apportioned, will be allowed. The above cash values will not 
be allowed for a surrender at any other time. 



30 



I 

Proofs of death under this Policy shall be furnished to the company at its office in the City 
of New York within one year after death, and shall include sworn statements on the com- 
pany's forms, as follows: (1) a statement from each claimant; (2) a statement from each phy- 
sician who attended the deceased within a year before death; (3) a statement from a respon- 
sible householder who knew the deceased; (i) a statement from the undertaker; (5) a state- 
ment from the clergyman, whenever one officiates. All questions must he fully answered, 
and the omission of any of the answers or statements required must be satisfactorily explained 
or supplied by other proofs. 

Any assignment of this Policy must be made in duplicate, and both copies must be sent 
to the home office for acknowledgment, one of them to be retained by the company. Under 
no circumstances will the company assume any responsibility for the validity of any assign- 
ment. 

FROM NEW YORK LIFE APPLICATION (FIVE YEAR DIVIDEND POLICY). 

Does the party agree not to reside or travel within the Tropics, and not to engage in blast- 
ing, mining, submarine operations, aeronautic ascensions, or in service upon any railroad 
train, or in switching or coupling cars, or upon any steam or other vessel, during the next 
two years following the date of any Policy issued hereon, without first obtaining written per- 
mission from this company? 

Any Policy issued under this application will contain an agreement that, if it shall lapse 
or become forfeited for the non-payment of any premium after being in force three full years, 
a Paid-up Policy will be issued on demand made within six months after such lapse with 
surrender of the Policy, under the same conditions as this Policy except as to payment of 
premiums, but without participation in profits, for such an amount as the net reserve on 
the Policy at the time of lapse, computed by the American Table of Mortality, and interest at 
four and one-half per cent., after deducting all indebtedness to the company, will pur- 
chase as a single premium at the present published rates of the company, at the age of the 
insured at the time of lapse, if an Ordinary Life Policy, or for such an amount as shall be 
represented by as many proportional parts of the sum insured as there shall have been com- 
plete annual premiums paid thereon when the lapse or default above referred to shall first be 
made, if a Limited-Payment Life Policy or an Endowment Policy. 

In consideration of this agreement, is all right, claim or interest to or in any temporary | 
insurance, surrender- value, or other paid-up Policy, whether required or provided for by the B 
statute of any State or not. specifically waived and relinquished? 

-Ido hereby declare that the person above named, on whose life insurance is applied 
for, is now in good health, and does ordinarily enjoy good health, and that in the above appli- 
cation I have not withheld any circumstance or Information touching the past or present state of 
health or habits of life of said person with which the NEW YORK LIFE INSURANCE COM- 
PANY ought to be made acquainted. (And that I have an interest in the life of the said 
person to the fall amount of The sum hereby applied for.) 

And I do hereby agree as follows : 1. That the statements and representations contained 
in the foregoing application and declaration, together with those made to the medical exam- 
iner by the person above named, on whose life insurance is applied for, shall be the basis of 
the contract between me and the said company; that I hereby warrant the same to be full, 
complete and true, whether written by my own hand or not, and that if the same or any of 
them are in any respect untrue, the Policy which may be issued hereon shall be void, and all 
moneys which may have been paid on account of such insurance shall be forfeited to said 
company. 2. That, inasmuch as only the officers at the home office of the company, in the 
City of New York, have authority to determine whether or not a Policy shall issue on any 
application, and as they act on the written statements and representations referred to, no 
statements, representations or information made or given by or to the person soliciting or 
taking this application for a Policy, or by or to any other person, shall be binding on the 
company, or in any manner affect its rights, unless such statements, representations or 
information be reduced to writing and presented to the officers of the company, at the home 
office, in the applications and declarations above referred to. 3. That in any distribution of 
surplus, the principles and methods which may be adopted by the company for such distribu- 
tion, and its determination of the amount equitably belonging to any Policy which may be 
issued under this application, shall be and are hereby ratified and accepted by and for every 
person who shall have or claim any interest under the contract now proposed. 4. That under 
no circumstances shall the Policy hereby applied for be in force until the actual payment to, 
and acceptance of the premium by, the company or its authorized agent during the lifetime 
and good health of the person on whose life insurance is applied for. 5. That the whole or 
any part of the risk herein proposed may be re-insured. 6. That the entire contract con- 
tained in the said Policy and in this application taken together shall be construed and inter- 
preted as a whole, and in each of its parts and obligations, according to the laws of the State 
of New York, the place of the contract being expressly agreed to be the principal office of the 
said company, in the City of New York, and unless otherwise mutually agreed in writing, no 
suit shall be brought against the company upon this Policy, except in the courts of that State 
or in the circuit or district courts of the United States, nor shall any such suit be brought 
after the lapse of one year from the time when the cause of action accrues. 

* This agreement form is in the application of all Policies. 



31 



NORTHWESTERN MUTUAL POLICY. 

Conditions referred to in Policy. 

1st. If the said premiums shall not be paid at or before the times within mentioned for 
the payment thereof, whether notice of such payment falling due has been received or not, 
then, and in every such case, this Policy shall cease and determine ; and no premium after the 
first, hereby acknowledged, shall be considered paid unless a receipt shall be given therefor, 
signed by the president or secretary, and the payment and receipt of any premium less than 
a full annual shall not have the effect to continue this Policy in force longer than three 
months in case of a quarterly payment, or six months in case of a semi-annual payment. 

2d. If, within three years from the date hereof, the said insured shall pass south of the 
Tropic of Cancer, or shall be personally engaged in blasting, miuing or submarine operations, 
or in the production of highly inflammable or explosive substances, or as engineer or fireman 
of any locomotive engine, or in switching or coupling or uncoupling cars, or be employed in 
any capacity on the trains of a railroad, except as passenger or sleeping-car conductor, mail 
agent, express messenger or baggage master, or in ocean navigation, or shall enter or be en- 
gaged in any military or naval service whatsoever (except in time of peace), or shall undertake 
an aerial voyage, or shall die in consequence of a duel, or shall, whether sane or insane, die 
by his own hand, then, and in every such case, this Policy shall be null and void. 

3d. If any statement made in the application for this Policy shall be found incorrect, this 
Policy shall be void; provided that if the age has been given correctly and death shall occur 
later than three years from the date hereof, and if this Policy shall not have been declared 
void by the company prior to such death, the liability of the company shall not, after such 
death, be disputed on account of such statement, except in case of fraud. 

4th. In every case where this Policy shall cease or become void, all payments thereon 
shall be forfeited to the company, except that a paid-up Policy may be issued as within con- 
ditionally provided. 

5th. If the said insured becomes habitually intemperate, or so far intemperate as either 
to impair health, or induce delirium tremens, then and in either s^ch case the company may, 
during his lifetime, cancel this Policy, and thereupon shall be absolved from all liability 
upon the same, except only that it shall pay the amount of the reserve, computed according 
to the now existing standard of the State of Wisconsin, if this Policy be surrendered in the 
lifetime of the insured and within one year from the cancellation of the same. 

6th. If this Policy shall be assigned, a duplicate of the assignment shall, within thirty 
days, be given to the company, and due proof of interest shall be produced on making claim. 

7th. This Policy is a contract made and to be performed in the State of Wisconsin, and 
shall be construed only according to the charter of the company and laws of said state. 



FEOM NORTHWESTERN MUTUAL APPLICATION. 

Do you understand and agree that no statements, representations or information made or 
given by or to the person soliciting or taking this application for a Policy, or to any other 
person, shall be binding on the company, or in any manner affect its rights, unless such state- 
ments, representations or information be reduced to writiDg, and presented to the officers of 
the company at the home office in the above application ? 

It is hereby declared and agreed that all the statements and answers written on this applica- 
tion are warranted to be true, and to be full and fair answers to the foregoing questions, with- 
out evasion or concealment, and are offered to the company as a consideration of the con- 
tract, which shall not take effect until the first premium shall have been actually paid during 
the life of the person herein proposed for insurance, and while he is in good health; and that, 
in consideration of the provision made in the Policy for a surrender value in paid-up insur- 
ance, all right or claim to any other surrender value than that so provided, whether required 
by a statute of any state or not, is hereby relinquished. 



3k5 



PENN MUTUAL POLICY. 

If this Policy shall become void, all payments previously made upou it shall be forfeited 
to the company! but if the lapse shall occur by non-payment of premium after two full annual 
premiums have been paid, the company will, subject to the other conditions of the Policy: 

First— Extend, without participation, the full amount insured by this Policy for as many 
years and days as the full reserve, by the actuaries four and one-half per cent. Table of Mor- 
tality, at the time of such lapse (less any indebtedness upon this Policy under the company's 
rules), will carry the same at the present established rates of the company; but if death shall 
occur within three years after such lapse by non-payment of premium, and during such ex- 
tension of insurance, there shall be deducted from the amount payable the sum of all the 
accrued premiums (less surplus), with interest thereon. 

Or Second.— Upon written application by the owner of this Policy, and the surrender of 
all claims thereunder to the company at its home office within sixty days after such lapse, will 
grant non-participating, paid-up insurance payable at death, for such sum as the above de- 
scribed net value will purchase at the then age of the insured at the rates of the company 
printed upon the back of this Policy. 

The insured under this Policy is permitted to serve in the militia, or in the military or 
naval forces of the United States in time of peace, without prejudice to his Policy ; and he may 
so engage or serve in time of war, upon payment of an extra premium therefore not to exceed 
three per centum per annum upon the amount insured. But should such extra premium for 
war hazard be unpaid at the time the risk is incurred, this Policy shall not be invalidated | 
thereby, but such premium shall be a lien thereon, and be deducted, with interest, at its 
maturity. Notice of active service in time of war shall be given to the company as soon as 
may reasonably be done. 

Should the age of the insured be incorrectly stated, the amount payable hereunder shall 
be such proportion of the sum insured as the premium paid bears to the required premium at 
the correct age of the insured. 

Proofs of death shall be furnished within six months after the ascertained death of the 
insured, and in the form prescribed by the company. 

Any assignment of this Policy shall be attached hereto, and a duplicate thereof furnished 
said company ; and any claim against this company arising under this Policy, made by any 
asignee, shall be subject to proof of interest; but in no case does the company guarantee the 
validity of an assignment. 

No agent shall have power to alter or change in any way the terms of this contract, or to 
waive forfeiture or to write anything on this Policy. Receipts for premiums are not valid 
unless signed by either the president, vice-president, secretary and treasurer, or actuary of 
the company. 



FP*OM PENN MUTUAL APPLICATION. 

I hereby ivarrant and agree, That I am temperate in my habits, now in good health, and 
ordinarily enjoy good health, and that in the statements and answers in this application no 
circumstance or information has been withheld touching my past and present state of health 
and habits of life, with which the Penn Mutual Life Insurance Company ought to be made 
acquainted ; and that if within two years from this date I shall die by my own hand ; or, 
without the written consent of the company, visit the Torrid Zone, personally engage in the 
occupations of blasting, mining, submarine operations, or in the manufacture, handling or 
transportation of explosives, or in service on any railway train, or on a steam or sailing vessel, 
or in naval or army service in time of war ; any Policy issued on this application, shall there- 
upon cease and determine ; and that the statements and answers to the printed questions 
above, together with this declaration, as well as tho?e to be made to the company's medical 
examiner, shall constitute the application, and be the basis of this contract, and that the 
place of contract shall be the City of Philadelphia, State of Pennsylvania. 



33 



PHCENIX MUTUAL POLICY. 

This Policy is issued and accepted upon the following express conditions and agreements: 

That if the death of the said insured shall at any time occur while visiting or residing in 
any part of the Western Hemisphere lying south of the' thirty-second parallel of north lati- 
tude (excepting in the United States from the first day of November in each year to the first 
day of July next following), or of the Eastern Hemisphere south of the forty-second parallel 
of north latitude or east of the fortieth meridian of longitude east from Greenwich, or while 
engaged as an employee in any capacity upon any vessel or railroad, or in any military or 
naval service (the militia when not in actual service excepted), without the written consent 
of this company previously given, or in case of the death of the said insured by self-destruc- 
tion (except upon proof that the same is the result of disease or of accident occurring without 
the voluntary act of the insured), or from the violation of law or the use of intoxicating 
liquors by the said insured, then, in either of the foregoing cases, or in case of any untrue 
statements or suppression of facts in the application for this Policy, this company shall only 
be liable under this Policy for the amount of the paid-up insurance to which the owner of 
this Policy would at the date of the death of the said insured be entitled, according to the 
provisions hereinafter set forth. 

That all permits for residence, travel or occupation which may be granted, and all other 
agreements, to be binding on this company, must be in writing and signed by its president or 
secretary, and that no agent or other person can alter, modify or waive any of the terms or 
1 conditions of this Policy. 

That this Policy shall not take effect until the advance premium hereon shall have been 
paid during the lifetime of the insured, and that if any subsequent premium hereon be not 
paid when due, and a separate receipt, signed by the president or secretary of this company, 
in each case given therefor, then this Policy shall cease; but when, after three or more full 
years' premiums shall have been paid hereon, this Policy shall cease for non-payment of any 
premium Avhen due, then and thereafter this company shall be liable under this Policy for a 
sum of non-participating paid-up insurance, in accordance with the printed table on the back 
of this Policy, payable as above, at death, or at the date provided for the maturity of this 
Policy, and subject to any indebtedness of the insured or assured to the company. 

That any claim under this Policy shall be presented in writing to the company at its home 
office, in Hartford, Conn., and shall contain full answers, under oath, to the questions in the 
company's blanks, and no suit shall be brought against the company, under this Policy, after 
two years from the death of the insured, or expiration of the term of this insurance. 



FROM PHCENIX MUTUAL APPLICATION. 

Are you aware that in case there are any untrue statements or answers to the above ques- 
tions, or any suppression of facts in regard to your health, habits or circumstances, the com- 
pany will be liable only for the amount of the paid-up insurance to which the Policy by its 
terms may be entitled? Have you carefully read over the questions and answers thereto? 
Do you understand that all policies and agreements, to be binding upon this company, must 
be signed by its president, vice-president or secretary? 

It is hereby agreed that this application shall form the basis of the contract of 
insurance herein applied for, and that the same shall form part of said contract as fully as if 
therein recited, and that all answers and statements contained in this application are, and 
shall be taken to be, strict warranties. The contract of insurance herein applied for shall be 
completed only by delivery of the Policy and payment of the premium. It is also agreed and 
warranted that this application has been made, prepared and written by the applicant or by 
his own proper agent, and that the assurer is not to be taken to be responsible for its prepara- 
tion, or for anything contained therein or omitted therefrom; and that in case of any untrue 
answers or statements herein, or supprtssion of any fact, the company shall be liable only for 
the amount of the paid-up insurance to wliich the Policy by its terms may be entitled. 



34 



THE PROVIDENT LIFE AND TRUST CO. OP PHILADELPHIA. 
(Ordinary Endowment Policy). 

In consideration of the representations and stipulations made in the application for this 

Policy, which are hereby made part of this contract, and of the first premium of now 

duly paid by and of the premium of to be paid on or before the 

day 01 every mouth in every year hereafter during the continuance of this Policy, 

docs covenant and bind itself to pay at its office in the City of Philadelphia the sum of 

to of County. State of or to assigns upon the day of 

., month, provided the said shall be living at that date. But in the 

event of decease before that date, then to pay at its office aforesaid the sum insured, to 

executors, administrators, or assigns, within sixty days aftey-due notice and satis- 
factory proof in writing, of the death, during the continuance of this Policy, of the said per- 
son whose life is hereby assured as above. Any unpaid portion of the current year's premium 
shall first be deducted. 

Provided always, And it is hereby declared to be the true intent and meaning of this 
Policy, and the same is issued, and accepted by the assured, upon the following express con- 
ditions and agreements :— 

First.— If Avithin two years after the issue of this Policy the said person Avhose life is here- 
by assured shall die by his or her own hand or act, unless proof of insanity shall be furnished, 
or shall within that time and without the consent in writing of this company previously ob- 
tained, travel or reside south of the parallel of 36° 30* north latitude between the first day of 
Seventh month (July) and the first day of Eleventh month (November), or shall be personally 
engaged in blasting, mining, submarine operations, or the production of highly inflammable or 
explosive substances, or as an engineer, fireman, brakesman, or conductor, upon any railroad, 
or be engaged in any capacity upon any steam or other vessel, or shall at any time during the 
continuance of this Policy be employed in any military or naval service whatsoever (the 
militia not in actual service excepted), this Policy shall be null and void. 

Second.— If the premiums as herein stipulated shall not be paid on or before the days above 
appointed for the payment thereof, at the office of this company in the city of Philapelphia, 
or to agents elsewhere, when they produce receipts signed by the president or actuary, this 
Policy shall become null and void, and this company shall not be liable for the payment of 
the sum assured, or any part thereof. If, however, the said premiums have been duly paid 
for the first two years of this assurance, and this Policy shall be surrendered and released in 
writing to the company, a paid-up Policy shall be issued for an amount proportioned to the 
number of full yearly premiums paid. 

Third.— Whenever this Policy shall become null and void, by reason of non-payment of 
the premiums thereon, or through violation or neglect by the assured of the stipulations con- 
tained herein, or in the application upon which it is issued, all payments theretofore made 
hereon shall be forfeited to and become the property of the company. But this shall not be 
held to deprive the assured from obtaining a paid-up Policy upon fulfilling the conditions 
above expressed. 

Fourth.— No assignment of this Policy shall be of any force or effect unless made in writ- 
ing and recorded by the company on its books. No receipt for renewal premiums, nor per- 
mit, nor any alteration or discharge of the contract, nor waiver of forfeitures under the same, 
shall be valid unless signed by the president or actuary. 

In witness whereof, The said THE PROVIDENT LIFE AND TRUST COMPANY OF 
PHILADELPHIA has, by its president and actuary, signed and delivered this contract, this 
day of month, one thousand eight hundred and eighty 



f Seal of 1 President. 

I ihe I- Attest: 



Company J 



Actuary, 



FROM APPLICATION PROVIDENT LIFE AND TRUST. 



It is hereby declared and agreed by the undersigned, that the foregoing application and the 
several answers to the interrogatories therein propounded are true, and that if a Policy of 
j insurance shall be issued by said company under this application, the same and the questions 
| and answers therein shall be deemed the basis of the contract expressed in said Policy: and 
I if any untrue or fraudulent statement be found to be contained therein, then all moneys 
I which shall have been paid on account of such insurance shall be forfeited to the said com- 
j pany, and the Policy of insurance made on the faith of this declaration and the above pro- 
posal shall become null and void and of no effect. 



35 



STATE MUTUAL POLICY. 

This Policy is issued and accepted upon the folloiving conditions: 

The assured may reside and travel in the United States and the British Provinces, and 
may make voyages along the coasts thereof, and may go to, return from, reside and travel in 
Europe and the islands of the Pacific Ocean at all seasons, and the West Indies between the 
months of November and May inclusive. 

The assured shall not, without first having obtained permission from the company, for 
which an extra premium may be charged, exceed these limits of travel and residence, nor 
engage in blasting, mining and submarine labor, nor in the manufacture, handling or trans- 
portation of inflammable or explosive substances, nor in service upon any railroad, steamboat 
or vessel, nor in military or naval service (the militia in time of peace excepted). 
" If the assured shall die by his own hand, or in consequence of the violation of law within 
three years from the date hereof, the company shall be liable only for the legal net reserve on 
this Policy at the time of his death. 

All premiums must be paid to the company at its home office in Worcester, or to some 
duly authorized agent in exchange for the company's receipt, signed by the president or 
secretary. 

Unless the premium on this Policy shall be paid as herein specified, this Policy shall 
become void, except as provided by the statutes of the Commonwealth of Massachusetts now 
in force. 

The company shall have a lien on this Policy, and any amount which may become due 
under it, to secure any indebtedness due the company from the assured. 

This Policy shall not take effect until the first premium is actually paid, and agents are 
not authorized to deliver the Policy until after such payment. 

It is agreed that no suit shall be brought against the company on any claim under this 
Policy unless it is begun within three years after the death of the assured and within two 
years from the time when the right of action accrues; and it is understood that no agent has 
any authority to make any contract binding the company, and that no alteration or waiver of 
the terms of this Policy, or permission required under it, shall be valid, unless made in 
writing and signed by the president, vice-president or secretary. 

No assignment of this Policy shall take effect until it has been registered with the com- 
pany, but such registration shall not be construed as confirmation of the legality of the 
assignment. 

FROM STATE MUTUAL APPLICATION. 

I, the applicant for insurance, do declare and warrant that I am now in good health, and 
that I do usually enjoy good health, and that the foregoing answers and statements are correct 
and true; that I have not concealed or withheld any circumstances in relation to the past or 
the present state ©f my health, habits of life, "or condition, which may render an insurance on 
my life more than usually hazardous, or with which the directors of said company ought to 
be made acquainted. 

And I do hereby agree that this declaration and the answers given to the foregoing ques- 
tions, and to the questions in the medical certificate, and the statements made in this appli- 
cation, and in the said medical certificate, shall be the basis and form part of the contract or 
Policy between me and the said company, and that, if the same be not in all respects true and 
correctly stated, the Policy shall be void, and all moneys which may have been paid on 
account thereof shall be forfeited to said company. And I further agree that the insurance 
hereby proposed shall not be binding on said company until the amount of premium required 
therefor shall be received by said company, or by an accredited agent thereof, in my lifetime. 



36 



TRAVELERS POLICY. 

All premiums are payable at the home office in Hartford, Conn., hut will be accepted if 
paid to an agent in exchange for a receipt signed by its president or secretary, and counter- 
signed by the agent designated thereon. This Policy shall not take effect unless the first 
premium is paid while the insured is in good health ; and if the second or third annual pre- 
mium be not fully paid when due, this Policy and all claims under it shall be void, and the 
premiums already paid shall be forfeited to this company. 

In case of default in payment of any premium after the third, this Policy will remain in 
force for the term specified in the table of "Paid-up Term Insurance" indorsed hereon — pro- 
vided, however, that in case of the death of the insured within three years from the date of 
such default, the unpaid premiums, with interest, shall be deducted from the amount insured, 
or in lieu of such Term Insurance, a Paid-up Policy will be granted for the amount specified 
in the table of "Paid-up Policy Values" indorsed hereon, provided this Policy is legally 
surrendered therefor at the home office within three months from date of lapse. 

At the end of the fifth and every subsequent fifth year from date of issue, the cash value 
specified in table of " Cash Surrender Values," indorsed hereon, will be paid for this Policy, 
provided it shall be in force under its original conditions, and is legally surrendered therefor 
to the home office within thirty days from the close of such period. 

Xo assignment hereof will be noticed by this company unless made in writing, the 
original or a copy attached hereto, and a copy furnished this company immediately on its 
execution ; but this company will not be held responsible for its validity. 



FPOM TRAVELERS APPLICATION. 

Do you agree not to reside or travel in any part of the Torrid Zone, and not to engage in 
any specially hazardous occupation or employment, as stated in marginal note, during ihe 
next two years following the date of issue of the Policy for which application is hereby made, 
without first obtaining the written permission of this company? 

Do you agree that in case of suicide, committed while sane or insane, within two years 
from date of the Policy hereby applied for, the limit of recovery thereunder shall be the 
amount of premiums paid thereon? 

I hereby declare and warrant: 1. That each and all of the answers and declara- 
tions made in both parts of this application, relating to questions of fact, are absolutely 
correct and true, and that all such answers have been made without evasion, reservation or 
concealment in any particular. 

2. That all answers made to questions relating to physical disorders, symptoms or treat- 
ment of disease, and family history, involving the exercise of an opinion, judgment or belief, 
have been made in good faith, and to the full extent of my information, knowledge and belief. 

3. That I hereby waive all personal or statutory rights which I may have to object to the 
testimony of any physician or surgeon, whether consulted by me or not, so far as he may have 
professional or expert knowledge of the facts or information sought for by the interrogatories 
in this application. 

4. That this application shall form part ox the insurance contract hereby applied for, and 
that any evasion, concealment or untrue declaration as to any of the foregoing interrogatories 
shall render such contract wholly void and of no effect. 

5. That the Policy, if granted, shall be held and treated as having been issued and deliv- 
ered in Hartford, Conn., and shall be construed and determined in accordance with the laws 
of said State, and that the paid-up insurance and surrender value provided by the Policy shall 
be in substitution of and treated as a waiver of all other statutory provisions in case of lapse 
or surrender. 

6. That no agent of the company shall have any power to waive or modify any of the 
conditions of said insurance contract. 

7. That the Policy applied for shall not take effect unless the advance premium is paid 
while I am in good health. 

8. That I have reviewed and considered all of the answers above made, and hereby con- 
firm the same as the basis of the Policy applied for. 



37 



UNION CENTRAL LIFE RATE ENDOWMENT POLICY. 

In coxsideratiox of the statements made in the application for this Policy, and which 

application is hereby made a part of this contract, and of the payment of the sum of 

dollars, at the home office of the company, on or before the day of at noon 

in every year during the term of years from date hereof, does insure the life of 

of in the county of in the State of in the amount of dollars, for the 

term of natural life, or until prior maturity, for the benefit of the insured, if living at the 

maturity of this Policy. In case of the death of the insured prior to such maturity, said 

amount of insurance shall be payable to if living, otherwise to the executors, 

administrators, or assigns of the insured. 

The company further agrees to pay to the insured the amount of said insurance at its office, 
in the city of Cincinnati, Ohio, whenever the premiums paid on this Policy and its equitable 
proportion of the company's profits combined, less its share of losses and expenses, equal the 
amount of the Policy. 

In case of the death of the insured prior to the maturity of this Policy, the same being 
in force, the company will pay the amount named herein within sixty days after the receipt 
of notice and satisfactory proof of death, the balance of the year's premium, if any, and all 
other indebtedness to the company, being first deducted. 

After three years" premiums have been paid, the company will, upon legal surrender of 
this contract while in force, issue a paid-up, non-participating Life Policy for the amount 
named in table "A" on the following page. In case of default for non-paynient of premium 
after three years, and no legal surrender having been made, as above provided, then this 
Policy shall, without surrender, become a Paid-up Term Policy, without change of terms or con- 
ditions, except as to the payment of premiums and participation in profits, and continue in 
force for such time as one annual premium on this Policy is contained in its reserve value, 
according to the American four per cent. Table of Mortality, at the end of which time this 
contract shall cease. In case the insured dies while the said Term Policy is in force, the 
amount of foreborne premiums, with annual interest at six per cent., shall be deducted from 
the sum insured. 

It is further agreed that, at the maturity of this Policy as an endowment, the insured, or 
the legal holder hereof, shall be paid the said sum of S in cash. 

Or, in lieu thereof, he may apply the said sum to the purchase of an annuity, according to 
Table " B." given on the following page. 

Or he may apply the said sum to the purchase of a Paid-up Life Policy, with participation 
in profits, according to Table " C," on the following page, provided he shall at that time fur- 
nish a satisfactory medical examination. 

This Policy is issued and accepted upon the further conditions and agreements contained 
on the following page, which are made a part of this contract, and which contract shall be 
held and construed to have been made in the city of Cincinnati, Ohio. 

In witness whereof, THE UNION CENTRAL LIFE INSURANCE COMPANY, by its presi- 
dent or vice-president, and secretary, signs this contract at Cincinnati, Ohio, this day of 

One Thousand Eight Hundred and Eighty 

President. 

Secretary. 

CONDITIONS AND AGREEMENTS. 

First.— This Policy shall not be valid or binding until the first premium is paid to the 
company or its authorized agent, and the receipt hereto attached, countersigned by the com- 
pany's agent, and delivered during the lifetime of the insured; and all premiums or notes, or 
interest upon notes given the company for premiums, shall be paid on or before the days 
upon which they become due, at the company's office, in the city of Cincinnati, or to the 
authorized agent of the company, he producing a receipt therefor, signed by the president, 
vice president or secretary. 

Second.— The insured shall not, without the written consent of the company, keep a liquor 
saloon, or personally engage in blasting, mining or submarine operations, or serve in any 
capacity on any vessel, boat or railway train, or in the production of highly inflammable or 
explosive substances, or enter any military or naval service whatsoever, the militia excepted. 

Third.— In case the person whose life is insured shall become intemperate in the use of 
intoxicating liquors or opium, or in case any of the statements or declarations made in the 
application for this Policy are in any material respect untrue, or if there has been a suppres- 
sion of any facts relating to the health or circumstances of the insured affecting the interests 
of the company, the company may, at its option, cancel this Policy; and its reserve value, 
calculated by the American six pa cent. Table of Mortality, less any outstanding indebted- 
ness against the Policy, shall, in case of such cancellation, be paid to the legal owner of the 
Policy. 

Fourth.— In case the insured shall die in consequence of the violation of law, or shall 
become a drunkard, or have delirium tremens, this Policy shall become null and void. 

Fifth.— Should the insured die during or by reason of the violation of any of the condi- 
tions and agreements specified above in paragraphs 2, 3 and 4, then the reserve value only 
of this Policy, at the time of death, calculated by the American six per cent. Table of Mor- 
tality, shall be paid. 



38 



Sixth.— Upon the violation of any of the foregoing conditions, this Policy shall be null 
and void, without action on the part of the company, or notice to the insured or beneficiary, 
and all payments made hereon, and all accrued surplus or profits, shall be forfeited to the 
company, excepting as provided in the foregoing 5th paragraph. 

Seventh. — In case this Policy should be assigned or held as security, written notice thereof 
shall be given to the company, and due proofs of interest produced with proofs of death. 

Eighth.— The contract of insurance between the parties hereto is completely set forth in 
this Policy and the application for the same, and none of its terms can be modified, nor any 
forfeiture under it waived, save by an agreement in writing signed by the president, vice- 
president or secretary of the company, whose authority for this purpose shall not be delegated. 

Ninth.— l$o suit to recover under this Policy shall be brought after one year from the 
death of the insured. 

Tenth.— Self-destruction by the insured, whether sane or insane, within three years from 
the date hereof, is not a risk assumed by the company under this contract. 

Eleventh. — After three years from the date of this Policy it shall be incontestable for any 
cause, excepting the violation of the above conditions regarding the occupation of the insured, 
the intemperate use of intoxicating liquors, non-payment of premium or of notes given for 
the same, and misstatement as to age. 



FROM UNION CENTRAL APPLICATION. 

I hereby agree and warrant that, should the company issue a Policy upon this application, 
its interests shall not be affected by verbal statements made to its agents or others, or by the 
knowledge of such agent, but that it shall be affected only by the statements herein made, | 
which it is agreed shall be deemed true, full and correct, as facts upon which, as such facts 
said company shall issue the Policy here applied for, if one is issued hereon. 



FROM STATEMENT TO THE MEDICAL EXAMINER. 

I hereby further declare that I have read and understand all the above questions put to 
me by the medical examiner, and the answers thereto, and that the same are true, and that I 
am the same person described as above, and I hereby, for myself, and for all o'hers who may 
in any event have or claim any interest in the insurance hereby applied for, do request and 
authorize any physician or person having any knowledge or information, acquired profes- 
sionally or otherwise, touching matters herein referred to or involved, and also as to any 
disease or sickness I may have hereafter, to disclose the same fully, at any time, at the instance 
of the said insurance company, hereby waiving any privilege that may be supposed to be con- 
nected therewith. 




UNION MUTUAL. POLICY. 

Provisions and Requirements Referred to in this Policy. 

If any statement made in the application for tbis Policy be in any respect untrue, the con- 
sideration of tbis contract sball be deemed to have failed, and the company shall be without 
liability under it. But the company hereby waives all defenses under this article, except for 
fraud, if the death of the party insured occurs after three years from the date hereof. But, 
if the age of the party insured is not correctly stated in the application, no more insurance 
will be paid hereunder than the amount that the premiums charged would have purchased 
at the rates for the insured's true age in use at the date of this policy, 

If, within three years from the date hereof, the person insured hereby shall die in conse- 
quence of the violation of law, or by disease, violence, or accident brought about by intoxi- 
cation, or shall impair his health by narcotics or alcholic stimulants, or shall have delirium 
tremens, or if, without the written consent of the company, signed by the president or secre- 
tary thereof, he shall pass or remain beyond the limits of residence and travel, or shall per- 
sonally engage in blasting, mining, submarine labor, aeronautic travel and excursions, the 
manufacture, handling, or transportation of inflammable or explosive substances, service 
upon any railroad, steamboat, or other vessel or boat (except conductors and engineers on 
railroads, and masters, supercargoes, mates, and other officers of vessels), military and naval 
service of every kind, whether as combatant or non-combatant, the militia in time of peace 
excepted, the company shall be released from all liability on account of this contract. 

It is hereby declared and agreed that the self-destruction of the person within three 
years from the date hereof — whether voluntary or involuntary, and whether he be sane or 
insane at the time — is not a risk assumed by the company in this contract ; but in every such 
case the company will, upon demand made and the surrender of this Policy accompanied with 
satisfactory proofs of such death within ninety days after its occurrence, pay the net reserve 
upon it held by the company at the beginning of the year in which death occurs, calculated 
by the Combined Experience Table of Mortality, with interest at the rate of four per centum 
per annum, first deducting therefrom any indebtedness which shall have accrued to the com- 
pany on account of this contract. 

The contract between the parties hereto is completely set forth in this Policy and the ap- 
plication therefor, taken together; and none of its terms can be modified, nor any forfeiture 
under it waived, except by an agreement in writing, signed by the president or secretary of 
the company, whose authority for this purpose will not be delegated. And it is further de- 
clared and agreed, tbat in case the obligation of the company under this contract be defeated 
by the failure of any of the considerations, or by the violation of any of the covenants or con- 
ditions recited or referred to herein, all payments which shall have been made to the com- 
pany on account of this contract shall be forfeited to the company. 

The proofs of the death by which this contract matures must be furnished to the company 
within one year after such death; and no action shall be commenced upon this Policy after 
one year from the time when the cause of action accrues; and, if any action be commenced 
after that time, the lapse of time shall be conclusive evidence against the claim. 

During three ye'ars from the date hereof, the limits of travel and residence under this con- 
tract are between the parallels of the Tropic of Cancer and the Arctic Circle ; also to travel be- 
tween ports within the said parallels and the Island of Cuba; also between ports on the Pacific 
coast within said parallels and the Sandwich Islands, and residence therein, and China and 
Japan; and to passage between said parallels in the North Atlantic and in the North Pacific 
Oceans, by the way of the Isthmus of Darien: Travel is permitted in first-class vessels within 
the aforesaid limits ; but travel and residence, of the person at whose death this contract 
matures, beyond the above limits, and within the aforesaid period of three years, will release 
the company from all liability under this contract. 

All premiums are payable anuually in advance. When the premium is made payable in 
semi-annual or quarterly instalments, that part of the year's premium, if any, which remains 
-unpaid at tbe maturity of this contract, shall be regarded as an indebtedness to the company; 
and, if any such payment be not made on or before the day it is due, the company shall, from 
that day, be released from all liability under this contract, except as hereinafter provided. 
When the premium is payable semi-annually or quarterly, in ascertaining the net value of the 
Policy to determine the extension under the Non-Forfeiture Law, there shall be deducted 
from the net value of the Policy (assuming net annual premiums) the net premium for the 
unpaid quarterly or semi-annual instalments for that year; which installments shall not be 
considered as an indebtedness, but as forborne premiums. 

This company will not take notice of any assignment of this Policy, until a duplicate 
thereof shall be delivered to the company; and under no circumstances will the company 
assume any responsibility for the validity of such assignment. 

In consideration of this Policy being subject to the Non-Forfeiture Law of the State of 
Maine, and entitled to the extensions therein provided for. all right, claim, or interest arising 
under the statutes of any other State, or otherwise, to or in any paid-up Policy or surrender 
value, and to or in any temporary insurance, except as provided for in the said law of Maine, 
| is hereby expressly waived and relinquished. 



40 



If any premium, or instalment of a premium, on this Policy shall not be paid when due, 
the consideration of this contract shall he deemed to have failed, and the company shall be 
released from liability, except as hereinafter provided; and the only evidence of payment 
shall be the receipt of the company, signed by the president and secretary. All premiums are 
payable annually in advance at the office of the company, in the city of Portland, at the date 
named in the Policy ; but, at the pleasure of the company, suitable persons may be authorized 
to receive such payments at other places, but only on the production of the company's receipt 
therefor, signed by the president or secretary. No payment made to any person, except in 
exchange for such receipt, will be recognized by the company, or be deemed by either party 
as valid payment. If, for any reason, a premium is received after it becomes due, it is upon 
the express condition that the party whose life is thereby insured is, at the time of the receipt 
of such premium, in good health, and of correct, sober, and temperate habits; and, if the fact 
is otherwise, the Policy shall not be put in force by such receipt. And such receipt must in 
every case be understood by the parties as an act of courtesy on the part of the company, and 
in no case whatever as constituting any obligation on its part to waive the payment of a future 
premium when due. In case any note, check, or draft given toward the payment of any 
premium shall not be paid at maturity, this policy lapses in the same manner as upon the non- 
payment of the premium when due. 



FKOM APPLICATION UNION MUTUAL. 

Does the party agree not to reside or travel within the Tropics, and not to engage in blast- 
ing, mining, submarine operations, ceronautic ascensions, manufacture of dynamite, gun- 
powder, or other explosive substances, or in service upon any railroad train, or in switching 
or coupling cars, or upon any steam or other vessel, during the next three years following the 
date of any Policy issued hereon, without first obtaining written permission from this 
company? 

I do hereby declare that the party above named whose life is proposed for insurance 
is now in good health, and does ordinarily enjoy good health, and that in the above applica- 
tion I have not withheld any circumstance or information touching the past or present state of 
health or habits of life of said person with which the UNION MUTUAL LIFE INSURANCE 
COMPANY ought to be made acquainted. (And that I have an interest in the life of the said 
person to the full amount of the sum hereby applied for.) 

A^ T D I do hereby agree as follows : 1. That the statements and representations contained 
in the foregoing application and declaration, together with those made to the medical exam- 
iner by the party above named, whose life is proposed for insurance, shall be the basis of the 
contract between me and the said company; that I hereby warrant the same to be full, com- 
plete and true, whether written by my own hand or not, and that if the same or any of them 
are in any respect untrue, the Policy which may be issued hereon shall be void, and all mon- 
eys which may have been paid on account of such insurance shall be forfeited to said com- 
pany. 2d. That, inasmuch as only the officers at the home office of the company in the City 
of Portland, have authority to determine whether or not a Policy shall issue on any applica- 
tion, and as they act on the written statements and representations referred to, no statements, 
representations, or information made or given by or to the person soliciting or taking this 
application for a Policy, or by or to any other person, shall be binding on the company, or in 
any manner affect its rights, unless such statements, representations, or information be re- 
duced to writing, and presented to the officers of the company, at the home office, in the ap- 
plication and declarations above referred to. 3. That in any distribution of surplus, the 
principles and methods which may be adopted by the company for such distribution, and its 
determination of the amount equitably belonging to such Policy, shall be and are hereby 
ratified and accepted by and for every person who shall have or claim any interest under the 
contract now proposed. 4. That it will constitute no contract of insurance until a Policy shall 
first have been issued and delivered by the company, and the first premium thereon paid, 
during the life of the party proposed for insurance in the same condition of health as de- 
scribed in the application. 5. And that the entire contract contained in said Policy, and this 
application, taken together, shall be construed and interpreted as a whole, and in each of its 
parts and obligations, according to the charter of the said company and the laws of the State 
of Maine, the place of contract being expressly agreed to be the office of the said company in 
the City of Portland, in the State of Maine, and unless otherwise mutually agreed in writing, 
no suit shall be brought against this company on this Policy except in the courts of that State, 
or in the Circuit or District Courts of the United States, or by residence of Canada, in the 
proper Court of the Dominion. 



41 



V 



UNITED STATES POLICY. 

Upon the Agreements and Conditions fo lowing: 

I. This Policy shall not take effect until the first premium nercon shall have been paid, 
and both the receipts therefor and this Policy he delivered to the assured personally, during 
the lifetime and sound health of the insured ; and in case any premium or payment required 
or agreed to be made now or hereafter, in connection with this insurance, shall not be so paid 
when due, then this contract shall become null and void, and of no effect, except that 

II. After there shall have been paid under this contract three full years' premiums, if 
default shall be made in any payment above specified, the entire reserve on this Policy, in- 
cluding dividend additions thereon, as calculated at that date according to the American 
Experience Table of Mortality with interest at the rate of four and one-half per cent, per 
annum and the net annual premiums method, after deducting at their face the unpaid de- 
ferred or fractional part of the annual premium which may belong to the then current Policy- 
year together Avith the amount of any note, draft, indebtedness, or charge (with the interest 
accrued thereon) against this Policy (other than such amount which may represent said de- 
ferred or fractional premium already included), shall, on written demand made at the com- 
pany's principal office in New York City, upon the blank forms furnished by the company on 
application therefor, within six months after such default, and during the life of the insured, 
be taken as a single premium to continue the insurance named in this Policy in force at its 
full amount, for such time beyond such default as such single premium will purchase that 
amount as (non-participating) paid-up insurance at the company's present published rates, 
taken at the age (nearest birthday) of the insured at the date of said default, subject to all the 
conditions and agreements of this contract: Provided, however, that if the death of the in- 
sured occurs within three years after such default, and during such continued time of insur- 
ance, there shall be deducted from the principal sum payable, the amount of all payments 
that would have become due up to the time of said death, had no default occurred. 

III. All premiums are payable in New York City at the company's office. No payment 
made to any person except in exchange for a receipt therefor, signed by the president, secre- 
tary, assistant secretary, or actuary, and in accordance with the terms and provisions of such 
receipts, and in cash, will be valid. 

IV. If any statement made in the application herefor is untrue in any respect, this con- 
tract shall be null and void, provided, however, that discovery of the same must be made by 
the said company and notice thereof given to the assured, within three years from the date 
hereof; excepting always, that if the age of the insured be understated in the application, the 
liability of the said company under this Policy at its maturity shall not be for a greater 
amount of insurance than the premium charged would have purchased at the company's rates 
in use at the date hereof at the true age of the life insured. 

V. If, within three years from the date hereof, the insured shall die by any act of self- 
destruction whatever, whether voluntary or involuntary, whether he be sane or insane at the 
time ; or shall impair his health by narcotics or stimulants ; or, without the consent of this 
company, in writing, shall travel or reside in the Torrid Zone; or shall personally engage, 
without like consent, in blasting, mining or in submarine labor; or in the manufacture, 
handling or transportation of inflammable or explosive substances; or in service upon any 
steamboat, or other vessel or boat; or in military or naval serviee in time of war, this contract 
shall become null and void. 

VI. The contract of insurance is contained only in this Policy and the application [which 
is hereby made part hereof] taken together, and none of its terms or conditions shall be mod- 
ified or waived except in writing, signed by the president together with the secretary or 

actuary. 

VII. In every case where this contract would become null and void, all payments made 
thereon shall be forfeited to the company. 

VIII. This company shall not take notice of any assignment of this Policy until a dupli- 
cate of such assignment be delivered to it, at its office in New York City. 

IX. This Policy shall participate in the profits of the company as determined and de- 
clared by the company from time to time. 

X. And the said company does hereby further promise and agree that after three years 
from the date hereof, if the premiums on this Policy are duly paid at the times and place, 
and in the manner herein stipulated, the liability of the said company under this Policy shall 
not be disputed. 



L 



42 



FROM UNITED STATES APPLICATION. 

Does the person in the case of the lapse of the Policy applied for, specifically waive and 
relinquish all claim, to any surrender value, paid-up Policy or temporary insurance, except as 
and when provided for in the Policy proposed, -whether required or provided for hy Chapter 
3-47 of the Laws of New York of 1S79. or by any other statute of any State or not? 

Ir is hereby declared and agreed : 1st. That all the statements and answers in this appli- 
cation are hereby warranted to be true, full and complete, and that this application and 
declaration shall, with the Policy herein applied for, alone constitute the contract between 
me and the United States Life Insurance Company in the City of New York, and no informa- 
tion or statement, unless contained in this application, made, given, received or required, by 
any person at any time shall lie binding on the company. 2d, That no person other than the 
president, together with the secretary, or actuary, shall have power to alter or waive any con- 
tract or condition on behalf of the company. 3d, That in any distribution of profits or sur- 
plus, the determination by the company of the amount to be apportioned to any Policy issued 
upon this application, shall be and hereby is ratified and accepted. 4th, That the whole or 
any part of the risk herein proposed may be reinsured. 5th. That this application, its state- 
ments, representations and agreements, together with all the conditions and stipulations con- 
tained in the Policy hereby applied for, shall be binding on me and on any future legal holder 
of this Policy. 




43 



'WASHINGTON POLICY. 

Conditions and agreements referred to and forming part of this Policy. 

1st. The person, whose life is hereby insured is permitted to travel or reside in any part 
of the Continent of North America, north of the Tropic of Cancer, or in any part of Europe. 

2d. If the said person whose life is hereby insured shall pass beyond the aforesaid limits, 
or shall enter any military or naval service whatsoever (the militia when not in actual service 
excepted), without the consent of this company previously given in writing; or if any of the 
statements or declarations made in the application for this Policy, upon the faith of which 
this Policy is issued, shall within three years from the date hereof be found in any respect 
untrue, or if the said premiums shall not be paid on or before the days above mentioned for 
the payment thereof at the office of the company, in the City of New York, (unless otherwise 
expressly agreed in writing,) or to agents when they produce receipts signed by the president 
or secretary, then, in any and every such case, the said company shall not be liable for the 
payment of the sum insured, or any part thereof, and this Policy shall be null and void and 
shall cease and determine, except only in the case of the due surrender of this Policy as 
herein provided. 

3d. Notwithstanding this Policy shall lapse and become forfeited for the non-payment of 
any premium upon the day upon which the same shall fall due, according to the terms there- 
of, as hereinbefore contained, yet, after the payment of three annual premiums, and upon 
demand made with surrender of this Policy within six months after such lapse by such non-pay 
ment, this company will issue a non-participating paid-up Policy for such sum as the reserve 
upon this Policy at the time of such lapse and forfeiture by such non-payment, according to 
the present legal standard of the State of New York, will purchase as a single premium at the 
company's published rates; and the paid-up insurance purchased by such surrender of this 
Policy shall be payable at the same times and under the same conditions, except as to the pay- 
ment of premiums, as the original Policy; provided and agreed, however, that any voluntary 
application by the company of cash dividends as hereinafter mentioned, shall, as relates to 
action under Chapter 347 of the Laws of New York of 1879, be taken into consideration in 
computing the amount of the reserve thereunder. 

4th. This Policy shall not lapse by non-payment of premium when due, until the period 
shall have expired for which the cash dividends declared and standing at its credit at the 
time of such non-payment will pay the premium at the rate called for in this Policy; and 
when such period shall have expired, this Policy shall lapse and become forfeited. The com- 
pany will, however, without requiring further medical examination, accept a past due 
premium, provided no other condition of the Policy has been violated, and such premium 
be tendered within the period thus protected by cash dividends ; and should the party insured 
die within said period, the company will pay the amount of this Policy, whether the pre- 
mium past due has been tendered or not. Surrender of the Policy only will supersede these 
concessions. 

5th. If this Policy should be assigned or held as security, written notice thereof shall at 
once be given to this company by the assignor, and due proof of interest produced at the 
maturity of the Policy. 



FROM WASHINGTON APPLICATION. 

It is hereby declared that the above are fair and true answers to the foregoing ques- 
tions, and it is acknowledged and agreed by the undersigned that such answers are material, 
and that the above statement shall form the basis of the contract for insurance, and also that 
any untrue answers, any suppression of faets in regard to the party's health, or neglect to 
pay the premium on or before the day it becomes due, will render the Policy null and void, 
and forfeit all payments made thereon; also, that the Policy of insurance hereby applied for 
shall not be binding upon this company until the amount of premium as stated therein shall 
be received by said company, or some authorized agent thereof, during the lifetime of the 
party therein insured. 

And it is understood and agreed as follows: That the paid-up insurance purchased in 
accordance with Chapter 347 of the Laws of New York of 1870, by the surrender of the Policy 
issued upon this application, shall be payable at the same time, aud under the same condi- 
tions, except as to the payment of premiums, as the original Policy, provided and agreed, 
however, that any voluntary application by the company of the cash dividends as hereinafter 
mentioned shall, as relates to action under said statute, be taken into consideration in com- 
puting the amount of said paid-up insurance: the above is determined and agreed by the 
company and the assured as a full compliance with the terms of said statute, but independ- 
ently thereof, and having no relation thereto, but as a voluntary and additional concession 
to the insured under this application, the company will, after the lapse and forfeiture of the 
Policy by non-payment of any premium falling due and unpaid, pay to the assured the 
amount of the Policy, should the party insured die at any time after such lapse and forfeiture 
within a period in which, proportionately, such Policy might have been held in force had 
the amount of any earned and unpaid cash dividends been paid in to the company, and 
received by it as payment on account of premium. 



44 



DIVIDEND COMPARISONS 




Actual results on policies in different Companies showin 
Policies for other amounts than $10,000 have been 
diminished to make an exact comparison. 


g a comparison of dividends, 
proportionately increased or 




LIFE POLICIES ISSUED IN 1885, AT AGE 49, FOR $10,000 EACH. 


COMPANY. 


Cost in 1885. 
(Premium.) 


Cost in 1886. 

(Prem. less 1st 

dividend.) 


Cost in 1887. 

(Prem. less 2nd 

dividend.) 




$435.60 
456.40 
444.60 
464.00 
462.00 
450.00 
456.40 


$387.50 
398.70 
350.20 
351.90 
381.10 
450.00 
383.70 


$380.00 
395.50 
C47.40 
348.80 
373.60 
375.20 
378.90 


Massachusetts Mutual 

Mutual Benefit 


Mutual Life 


Penn Mutual 


*Provident Life and Trust 


State Mutual 




20-YR. ENDOWMENT POLICIES, ISSUED IN 1885, AT AGE 51, FOR $10,000 EACH 


COMPANY. 


Cost in 1S85. 
(Premium.) 


Cost in 18*6. 

(Prem. less 1st 

dividend.) 


Cost in 1887. 
(Prem. less 2nd 
• dividend.). 


Equitable of New York 

Michigan Mutual 

Mutual Benefit 


$619.00 
579.10 
615.90 
543.80 
619.00 
618.70 


$578.98 
527.90 
499.50 
500.80 
567.78 
618.70 


$573.48 ' 
524.70 
495.40 
496.40 
562.58 
486.28 










20-YR. ENDOWMENT POLICIES, ISSUED IN 1885, AT AGE 52, FOR $10,000 EACH. 


COMPANY. 


Cost in 1885. 
(Premium.) 


Cost in 1886. 

(Prem. less 1st 

dividend.) 


Cost in 1887. 

(Prem. less 2nd 

dividend.) 


Mutual Benefit 


$631.30 
610.00 


$510.30 
541.70 


$506.30 
522.15 


New England 


15-YR. ENDOWMENT POLICIES, ISSUED IN 1884, AT AGE 46, FOR $10,000 EACH 


COMPANY. 


Cost in 1885. 

(Prem. less 1st 

dividend.) 


Cost in 1886. 

(Prem. less 2nd 

dividend.) 


Cost in 1887. 

(Prem. less 3rd 

dividend.) 


Massachusetts Mutual 

Mutual Benefit 


$664.80 
616.40 
607.90 
626.25 


$661.80 
610.90 
611.30 
630.45 


$658. SO 
605.50 
606.50 
623.75 


Mutual Life 

State Mutual 




* This Company does not pay dividends till end of second year. 



NON-FORFEITURE LAWS. 



NON-FORFEITURE LAW OF MAINE. 

"Section 1.— Every policy of Life Insurance issued on and after the first day of April, 
in the year of our Lord one thousand eight hundred and seventy-seven, by any company 
chartered by the authority of this State, which may be forfeited for non-payment of premiums, 
including all notes given for premiums or interest thereon after it shall have been in force 
three full years, and which shall not contain provision for a surrender value at least equiva- 
lent to the value arising under the terms of this Act, shall, nevertheless, be continued in 
force to an extent and for a period of time to be determined as follows, to-wit: The net 
value of the policy, when the premium becomes due and is not paid, shall be ascertained 
according to the combined experience or actuaries' rate of mortality, with interest at four 
per centum per annum. After deducting from three-fourths of such net value any indebted- 
ness to the company, or notes held by the company against the iusured (which notes, if given 
for premium, shall then be cancelled), what remains shall be considered as a net single 
premium of temporary insurance ; and the term for which it will insure shall be determined 
according to the age of the party at the time of the lapse of the policy, and the assumptions 
of mortality and interest aforesaid; but if the policy shall be an endowment payable at a 
certain time, or at death if it shall previously occur, then, if what remains as aforesaid shall 
exceed the net single premium of temporary insurance for the balance of the endowment 
term for the full amount of the policy, such excess shall be considered as a net single 
premium or simple endowment, payable only at the same time as the original endowment, 
and in case the life insured survives to such time; and the amount thus payable by the com- 
pany shall be determined according to the age of the party at the time of the lapse of the 
policy, and the assumptions of mortality and interest aforesaid. 

"Sec. 2. — If the death of the life insured occur within the term of temporary insurance 
covered by the value of the policy as determined in the previous section, and if no condition 
of the insurance other than the payment of premium has been violated by the insured, the 
company shall be bound to pay the amount of the policy the same as if there had been no 
lapse of premium, anything in the policy to the contrary notwithstanding; provided, how- 
ever, that notice of the claim, and proof of the death, shall be submitted to the company, 
in the same manner as provided by the terms of the policy, within ninety days after the 
decease, and provided, that the company shall have the right to deduct from the amount 
insured in the policy the amount, compounded at seven per centum per annum, of all the 
premiums that had been forborne at the time of the death, including the whole of the year's 
premium in which the death occurs." 



NON-FORFEITURE LAW OF MICHIGAN. 

AS AMENDED IN 1881. 

"Sec. 17.— No policy of insurance on life, issued after this act shall take effect, by any 
company organized under the laws of this State, shall be forfeited or become void by the 
non-payment of any premium thereon, after the third, any further than as folloAvs: The net 
value of the policy, when the premium becomes due and is not paid, shall be ascertained 
according to the "American Experience Table" rate of mortality, with interest at four per 
centum per annum. 

" A surrender charge shall be first deducted from such net value on the following basis, 
to-wit: From policies that have paid three full years' premiums, forty (40) per cent.; from 
policies that have paid four full years' premiums, thirty-six (36) per cent.; from policies that 
have paid five full years' premiums, thirty-two (32) per cenr., and so on in like manner, 
decreasing the discount four (4) per centum for each full years' premium paid, until the dis- 
count is exhausted, when no surrender charge shall be made. 

" After deducting the surrender charge from the net value, the remainder shall be con- 
sidered a net single {jremium of whole life non-participating insurance, and the amount it will 
insure shall be determined according to the age of the party at the time when the unpaid 
premium became due and the assumptions aforesaid in regard to rate of interest and table of 
mortality. 

"In case of any indebtedness on any policy, such indebtedness shall be first deducted 
from the net value remaining, after deducting the discount, and the remainder, if any, shall 
be used as the net single premium as aforesaid." 

The following table illustrates the workings of the Michigan Non-Forfeiture Law as 
applied to an Ordinary Life Policy, issued at the age of 40, for 310,000 insurance: 



46 



Annual premiums, less the div. 
dends, paid in cash. 



Secures to the insured. 



A paid-up for 



f 641.90 
906.90 
1.195.30 
1,506.90 
1,810.90 
2,194.90 
2,570.60 
2,961.70 
S. 371. 80 
3,799.10 
4,239.00 
4,510.40 
4,776.59 
5.032. o0 
5,278.50 
5,517.10 
5.718.70 
5.970.10 
6,947.70 
7.728.00 
8,335.20 
8,825.80 



MASSACHUSETTS NON-FORFEITURE LAW. 

"An Act Limiting the Forfeiture of Policies in Life Insurance Compa- 
nies," approved April 23, 1880, taking effect on the fifth day of March, 1831. 

" Public Statutes, Chapter 119, Sections 161-166. Sec. 161.— No Policy of Life or Endowment 
Assurance issued after the thirty-first day of December, in the year eighteen hundred and 
eighty, by a domestic company, shall become forfeited or void for non-payment of premium 
after two full annual premiums have been paid thereon, in cash or note, or both; but upon 
default in a subsequent premium payment such policy shall become subject to the conditions 
expressed in the four following sections, any stipulation or condition of forfeiture contained 
in the policy or elsewhere to the contrary notwithstanding; and any waiver by the assured of 
the provisions of this and the four following sections shall be void; but the provisions of this 
section and of said sections shall not prevent the performance of any stipulation or condition 
in any policy issued before the fifth day of March, in the year eighteen hundred and eighty- 
one. 

" Sec. 162.— In case of default in the payment of a third or of any subsequent annual pre- 
mium on any such policy, then, without further negotiation or stipulation, such policy shall be 
binding upon the company for an amount of the paid up insurance which the then net value 
of the policy, less any indebtedness of the assured to the company and a surrender charge as 
provided in the following section, will purchase as a net single premium for Life or Endow- 
ment Assurance maturing or terminating at the same time and in the same manner as pro- 
vided in the original policy contract; that is to say, no condition of the policy contract other 
than for the payment of premiums shall be affected by the provisions of sections one hundred 
and sixty-one to one hundred and sixty-five inclusive; nor shall any change be made in the 
terms of said contract on account of default in premium payment, after two full annual pre«| 
miums have been paid as provided in the preceding section, except as herein set forth. The 
net value of the policy, including all dividend additions declared thereon at the date of said 
default, shall be ascertained according to the ' combined experience,' or 'Actuaries' ' rate of 
Mortality, with interest at four per cent, per annum; and from such value shall be deducted, 
any indebtedness of the insured to the company or notes held by the company against the 
insured, and a surrender charge to be determined as provided in the following section. 

" Sec. 163.— Said surrender charge shall be determined as follows: Assuming the rate of 
mortality and interest mentioned m the preceding section, the present value of all the normal, 
future, yearly costs of insurance which by its terms said policy is exposed to pay in case of its 
continuance shall be calculated, and eight per cent, of this sum shall be the legal surrender 
charge. 

" Sec. 164.— When after the payment of two annual premiums as provided in section one 
hundred and sixty-one the insurable interest in the life of the insured has terminated, the net 
value of the policy, subject to the conditions named in section one hundred and sixty-two,: 
shall be a surrender value payable in cash; and upon the termination of such iusurable inter- 
est the holder of a policy upon which by its terms no further premiums are payable, may; 
upon any anniversary thereof, claim and recover in cash from the company a surrender value 
computed as aforesaid ; but upon policies of prudential or industrial insurance, on which the 
premiums are five cents per week and upwards, but not exceeding fifty cents, the surrender 
value shall in all cases be payable in cash. 

"Sec. 165.— The insurable interest named in the preceding section shall be construed to 
have terminated when the insured has no minor or dependent child; and his wife, if he has 
one, and any living beneficiary or beneficiaries named in the policy, shall join in the applica- 
tion for surrender thereof. 

" Sec. 166.— The provisions of the seven preceding sections shall not apply to foreign life 
insurance companies." 



47 



Probably there has never been enacted a non-forfeiture life insurance law, providing for 
a cash surrender value of policies, so capable of different constructions by insurance officials 
as this one. Read the following correspondence in reference thereto. 

In May 1885, a person signing himself " Henry Z. Edwards," Mattoon. 111., wrote to all the 
Massachusetts Life Insurance Companies asking the question, " If a person should insure in 
a Massachusetts company, under the present life insurance laws of that State, can he claim 

ANY CASH SURRENDER VALUE WHATEVER ON HIS POLICY WHILE HIS CHILDREN ARE 
MINORS?" 



BERKSHIRE LIFE INSURANCE CO. 

Pittsfield, MASS., May 8, 1885. 
Dear Sir:— In answer to your inquiry of the 2d inst., I would say that I do not understand 
that there is anything in the law you refer to to prevent a company from paying the cash value 
if such payment is desired, or to oblige the company to pay it if it does not desire to do so. 

I am very respectfully, Jas. W. Hull, Secretary. 

MASSACHUSETTS MUTUAL LIFE INSURANCE CO. 

Springfield, Mass., May 6, 1885. 
Dear Sir:— Your favor of the 1st at hand. We can, under the laws of our State, purchase 
any policy to which we can obtain a good title: that is, a release by the insured and every 
beneficiary named in the policy. 

It is obvious that if any beneficiary named in a policy be -a minor, such beneficiary cannot 
give a valid release on account of minority. If only a wife is the beneficiary, the policy can 
be released by the insured and wife. 

Trusting I have satisfactorily answered your inquiries, 

I remain yours truly, John A. Hall, Secretary. 

JOHN HANCOCK MUTUAL LIFE INSURANCE CO. 

Boston, Mass., May 7, 1S85. 
Dear Sir;— Yours of the 1st at hand. Our construction of the Massachusetts law is that no 
company can be compelled to purchase any policy if the insured has a wife and dependent 
children, even if neither are named in the policy; but as a matter of fact we purchase any 
policy subject to the new law, and for the insured's benefit, on his receipt, without asking 
anything about his wife or children ; and if payable to wife, on joint receipt of husband and 
wife, without regard to children. Yours truly, 

Geo. B. "Woodward. Secretary. 

NEW ENGLAND MUTUAL LIFE INSURANCE CO. 

Boston, May 7, 18S5. 

Dear Sir:— Your favor of the 1st inst. received. The enclosed circular will show you the 
practice of the company in relation to the payment of cash values for policies written under 
the non-forfeiture law of 1880. 

The fact that the insured may have minor or dependent children will not prevent the sur- 
render of a policy unless the policy was made expressly for their benefit. 

In this we follow the advice of the late Judge Foster, who was formerly a Judge of the Su- 
preme Court of Massachusetts, and. until his death in 1884, for many years counsel of this 
company. Yours truly, Benj. F. Stevens, President. 

STATE MUTUAL LIFE ASSURANCE CO. OF WORCESTER. 

Worcester, May 8, 1885. 
Dear Sir:— Yours of the 2d inst. inquiring as to non-forfeiture law is received. We are ad- 
vised by eminent counsel that we can pay the cash surrender value of a policy written payable 
to the insured or his legal representatives, whether he have minor or dependent children or 
not, provided the policy be in force ; but if the policy has lapsed, and there are minor and de- 
pendent children, then we cannot pay the cash surrender, since the children in this case have 
a vested interest in the policy, which thenceforth stands for a certain amount of paid-up in- 
surance. Yours truly. A. G. Bullock, President. 



EXTRACT FROM THE MASSACHUSETTS LAW OF 1887. 

"Sec. 76.— All policies hitherto issued by any domestic life insurance company shall be 
subject to the provisions of law applicable and in force at the date of such issue. No policy of 
life or endowment assurance hereafter issued by any such company shall become forfeit or 
Void for non-payment of premium after two full annual premiums, in cash or note, or both, 
have been paid thereon; but in case of default in the payment of any subsequent premium, 
then, without any further stipulation or act, such policy shall be binding upon the company 
for the amount of paid-up insurance which the then net value of the policy and all dividend 
additions thereon, computed by the rule of section eleven, less any indebtedness to the com- 
pany on account of said policy, and less the surrender charge provided herein, will purchase 
as a net single premium for life or endowment insurance maturing or terminating at the time 
and in the manner provided in the original policy contract ; and such default shall not change 
or affect the conditions or terms of the policy, except as regards the payment of premiums and 
the amount payable thereon. Said surrender charge shall be eight per cent, of the insurance 
value of the policy at the date of default, which insurance value is the present value of all 



48 






the normal future yearly costs of insurance which by its terms said policy is exposed to pay ! 
in case of its continuance, computed upon the rate of mortality and interest assumed in sec 
tion eleven. [' Combined Experience ' or 'Actuaries' Table ' rate of mortality with interest at 
four per cent, per annum.] Every such policy, after the payment of two full annual premi- 
ums thereon, shall have a surrender value Avhich shall be its net value, less the surrender 
charge, and less any indebtedness to the company on account of the said policy, and its holder 
may. upon any subsequent anniversary of its issue, surrender the same and claim and recover 
from the company such surrender value in cash; provided that from the surrender value of 
all endowment policies the company may deduct five per cent. On policies of prudential or 
industrial insurance on which the weekly premiums are not more than fifty cents each, the 
surrender value in all cases shall be payable in cash. Upon surrender, on any anniversary of 
its issue, of a policy which has become paid up after the payment of two full annual premi- 
ums, by force of the statute upon default in payment of premium, the holder shall be entitled 
to its net value, payable in cash; provided that from such net value of all endowment policies 
the company may deduct five per cent. But no surrender of a policy shall be made without 
the written assent of the person to whom the policy is made payable. Any condition or stip- 
ulation in the policy or elsewhere, contrary to the provisions of this section, and any waiver 
of such provisions by the assured, shall be void." 

See index for page of table which shows the paid-up insurance and cash values under the 
Massachusetts law on ordinary life policies. 



NON-FORFEITURE LAW OF NEW YORK. 

"Section 1.— Whenever any policy of Life Insurance hereafter issued by any company 
organized or incorporated under the laws of this State, after being in force three full years, 
shall by its terms lapse or become forfeited for the non-payment of any premium, or any note 
given for a premium, or loan made in cash on the policy as security, or of any interest on 
such note or loan, unless the provisions of this act are specifically waived in the application, and 
notice of such waiver written in red ink on the margin of the face of the policy when issued, the 
reserve on such policy, including dividend additions, calculated at the date of the failure to 
make any of the payments above described, according to the 'American Experience Table of 
Mortality,' and with interest at the rate of four and a half per cent, per annum, after deduct- 
ing any indebtedness of the insured on account of any annual, semi-annual or quarterly 
premium then due ; and any loan in cash on such policy, evidence of which is acknowledged 
by the insured in writing, shall, on demand made, with surrender of the policy within six months 
after such lapse, be taken as a single premium of life insurance at the published rates of the 
company at the time the policy was issued, and shall be applied, as shall have been agreed in 
the application and policy, either to continue the insurance of the policy in force at its full 
amount, so long as such single premium will purchase temporary insurance for that amount, 
at the age of the insured at the time of lapse, or to purchase upon the same life, at the same 
age, paid-up insurance payable at the same time, and under the same conditions except as 
to payment of premiums, as the original policy. Provided, that if no such agreement be 
expressed in the application and policy, the said single premium may be applied in either 
of the modes above specified, at the option of the owner of the policy; notice of such option to 
be contained in the demand herinbefore required to be made to prevent the forfeiture of the policy. 
Provided, also, that the net value of the insurance given for such single premium under this 
section, computed by the standard of this state, shall in no case be less than two-thirds of the 
entire reserve after deducting the indebtedness as specified; but such insurance shall not 
participate in the profits of the company. 

" Sec. 2.— If the reserve upon any endowment policy, applied according to the preceding- 
section as a single premium of temporary insurance, be more than sufficient to continue the 
insurance to the end of the endowment term named in the policy, and if the insured survive 
the term, the excess shall be paid in cash at the end of such term, on the conditions on which 
the original policy was issued. 

" Sec. 3.— This act shall take effect on the first day of January, 1880." 

The following tables illustrate the workings of the New York Non-Forfeiture Law, as 
applied to an Ordinary Life Policy, issued at age 40 for $1,000 in the Mutual Life and Equitable 
companies; "the single premium of life insurance at the published rates of the company 
varies, hence the difference in paid-up values. 



Annual premiums paid in cash. 


Paid-up value Mutual Life. 


Paid-up value Equitable. 


3 


$86 


$ 73 


4 


115 


97 


5 


143 


120 


6 


171 


143 


7 


199 


165 


8 


226 


187 


9 


253 


209 


10 


280 


230 


15 


407 


325 


20 


521 


404 



49 



Equitable Semi-Tontine, Estimated Results. 



Ordinary Life Policies of $1,000 Each. 



TWENTY-YEAR TONTINE PERIOD. 



m 
w 

OS 
? 

be 

< 


02 

M 

O 


Free Tontine 

Rates, 

Annual 

Premiums. 


Reserve 
Guaranteed. 


si 

02 to 


£1 

3$ 


Paid-up Value 
Estimated. 


d £ c3 


25 


$19 89 


$20 50 


$196 87 


$336 13 


$533 


$1290 


$397 80 


30 


22 70 


23 30 


242 33 


393 67 


636 


1360 


454 00 


35 


26 38 


27 10 


294 75 


474 25 


769 


1460 


527 GO 


40 


31 30 


32 20 


352 43 


592 57 


945 


1600 


626 00 


45 


37 97 


39 10 


412 91 


777 09 


1190 


1810 


759 40 


50 


47 18 


48 50 


472 73 


1088 27 


1561 


2170 


943 60 


55 


59 91 


61 60 


529 23 


1679 77 


2209 


2810 


1198 20 



FIFTEEN- YEAR TONTINE PERIOD- 



25 


$19 89 


$20 50 


$133 91 


$154 09 


$288 


$780 


$298 35 


30 


22 70 


23 30 


166 37 


177 63 


344 


830 


340 50 


35 


26 38 


27 10 


205 87 


210 13 


416 


890 


395 70 


40 


31 30 


32 20 


251 53 


256 47 


508 


960 


469 50 


45 


37 97 


39 10 


301 66 


323 34 


625 


1060 


569 55 


50 


47 18 


48 50 


354 05 


427 95 


782 


1190 


707 70 


55 


59 91 


61 60 


406 28 


601 72 


1008 


1400 


898 65 



TEN-YEAR TONTINE PERIOD. 



25 


$19 89 


$20 50 


$ 80 82 


$ 54 18 


$135 


$410 


$198 90 


30 


22 70 


23 30 


101 01 


61 99 


163 


440 


227 00 


35 


26 38 


27 10 


126 26 


71 74 


198 


480 


263 80 


40 


31 30 


32 20 


157 19 


85 81 


243 


520 


313 00 


45 


37 97 


39 10 


192 85 


105 15 


298 


570 


379 70 


50 


47 18 


48 50 


231 64 


134 36 


366 


620 


471 80 


55 


59 91 


61 60 


272 64 


180 36 


453 


690 


599 10 



Ten-Payment Life Policies of $1,000 Each. 



TEN-YEAR TONTINE PERIOD. 



25 


$42 56 


$43 30 


$328 81 


$ 91 19 


$420 


$1280 


$425 60 


30 


46 97 


48 00 


367 58 


100 42 


46 S 


1270 


469 70 


35 


52 40 


53 60 


413 55 


113 45 


527 


1270 


524 00 


40 


59 09 


60 40 


466 99 


130 01 


597 


1280 


590 90 


45 


67 37 


69 00 


526 65 


152 35 


679 


1290 


673 70 


50 


77 77 


79 60 


590 46 


184 54 


775 


1310 


777 70 


55 


90 79 


93 00 


655 70 - 


231 30 


887 


1350 


907 90 



Fifteen-Payment Life Policies of $1,000 Each. 



TEN-YEAR TONTINE PERIOD. 



25 


$32 34 


$33 10 


$216 97 


$ 75 03 


$292 


$890 


$323 40 


30 


35 76 


36 60 


244 46 


82 54 


327 


890 


357 60 


35 


40 01 


41 00 


276 78 


93 22 


370 


890 


400 10 


40 


45 33 


46 50 


313 68 


108 32 


422 


900 


453 30 


45 


52 11 


53 40 


353 30 


127 70 


481 


910 


521 10 


50 


60 91 


62 50 


392 74 


157 26 


550 


930 


609 10 


55 


72 50 


74 40 


428 85 


201 15 


630 


960 


725 00 



FIFTEEN- YEAR TONTINE PERIOD- 



25 


$32 34 


$33 10 


$367 58 


$239 42 


$ 607 


$1650 


$ 485 10 


30 


35 76 


36 60 


413 55 


267 45 


681 


1650 


536 40 


35 


40 01 


41 00 


4G6 99 


305 01 


772 


1650 


600 15 


40 


45 33 


46 50 


526 65 


354 35 


881 


1670 


679 95 


45 


52 11 


53 40 


590 46 


426 54 


1017 


1720 


781 65 


50 


60 91 


62 50 


655 70 


532 30 


1188 


1810 


913 65 


55 


72 50 


74 40 


718 96 


705 04 


1424 


1980 


1087 50 



50 



Equitable Semi-Tontine, Estimated Results. 



Twenty-Payment Life Policies of $1,000 Each. 



TWENTY- YEAR TONTINE PERIOD. 



d 

OQ 

go 

© 

bo 

< 


rt"3S 
o 


Free Tontine 

Rates, 

Annual 

Premiums. 


Kg 


r-H OS 

&a 


Cash Value 
Estimated. 


I s 

Q-i 




25 


$27 39 


$28 10 


$413 55 


$464 45 


$ 878 


$2120 


$547 80 


30 


30 36 


31 10 


466 99 


526 01 


993 


2130 


607 20 


35 


34 08 


35 00 


526 65 


61D 35 


1137 


2160 


681 60 


40 


38 83 


39 80 


590 46 


730 54 


1321 


2240 


776 60 


45 


45 03 


46 20 


655 70 


914 30 


1570 


2390 


900 60 


50 


53 38 


54 80 


718 96 


1223 04 


1942 


2700 


1067 60 


55 


64 82 


66 60 


777 16 


1805 84 


2583 


3320 


1296 40 



FIFTEEN- YEAR TONTINE PERIOD- 



25 


27 39 


28 10 


274 66 


205 34 


480 


1300 


410 85 


30 


30 36 


31 10 


311 24 


230 76 


542 


1310 


455 40 


35 


34 08 


35 00 


353 28 


263 72 


617 


1320 


511 20 


40 


38 83 


39 80 


399 07 


308 93 


708 


1340 


582 45 


45 


45 03 


46 20 


445 90 


375 10 


821 


1390 


675 45 


50 


53 38 


54 80 


490 25 


474 75 


965 


1470 


800 70 


55 


64 82 


66 60 


528 25 


641 75 


1170 


1630 


972 30 



TEN-YEAR TONTINE PERIOD. 



25 


27 39 


28 10 


162 83 


67 17 


230 


700 


273 90 


30 


30 36 


31 10 


185 10 


73 90 


259 


700 


303 60 


35 


34 08 


35 00 


211 23 


83 77 


295 


710 


340 80 


40 


38 83 


39 80 


241 12 


97 88 


339 


730 


388 30 


45 


45 03 


46 20 


272 99 


116 01 


389 


740 


450 30 


50 


53 38 


54 80 


304 38 


144 62 


449 


760 


533 80 


55 


64 82 


66 60 


333 57 


188 43 


522 


800 


648 20 



The following shows how jealously the Estimates of Tontine Companies are guarded: 

The Equitable hook contains as follows : 

"This book is the property of The Equitable Life Assurance Society of the U. S. It is 
printed for the exclusive use of the Society's Agents in prosecuting the Society's business in 
accordance with the Society's rules and regulations, and it is to be returned to the Society as 
soon as it ceases to be used in this way." 

The Mutual Life Estimate and Rate book contains as follows : 

" No. •. This book is the property of The Mutual Life Insurance Company of New 

York, and is delivered to the Solicitor of applications for his instruction and personal use in 
his work. It must be by him preserved for such purposes, and kept subject to the order of the 
Company or its General Agent, for its return by the person to whom it is charged." 

The New Yokk Life book contains the following : 

" This book of tables has been prepared for the use of the Agents of the New York Life 
Insurance Company, to illustrate the Non-forfeiting Limited Tontine Policy Plan. It is not 
intended for circulation, but is the property of the Company, for the personal use of the 
Agents while they continue in its employ, and is to be returned to the Company on the 
termination of such employ, or whenever previously called for." 

In addition to this, whenever a book is given an Agent, he must sign the following receipt: 



188 . 



" Received of the New York Life Insurance Company, one copy of its book of ' Estimated 
Results of Non-forfeiting Limited Tontine Policies' (Edition January, 1887,), which I 
acknowledge to be the property of the Company, and furnished to me only for use in carrying- 
on its business. I consequently hereby bind myself in honor, and agree that it shall only be 
used in the Company's service ; that it shall not be given or loaned to any person ; that I will 
not copy it or allow any other person to copy it, and that I will return it to the Company, or 
its authorized agent, whenever my service with the Company ends, or at any previous time, 
if required." 

51 



MUTUAL LIFE SURVIVORSHIP DISTRIBUTION SYSTEM. 

The diagram below shows the basis of Estimates, according to results realized in the 
past history of the company. 

In no case are the results guaranteed, except the reserve; no guarantee as to the amount 
of surplus accumulations is written in the Policy. 











e 

• 

s 

26 


Policj 
Holders 
direlm.aed 
by De«t 

1.000 


6 

This space represents 1 .OOo roucy Holders 
constituting Dividend Class. 


a 

| 


8 

Hun in pe 
cent. j»er 
ordinary 
dividends 


i! 




30 


930 


// 






V 




35 


920 








X 




40 


87& 


3* 1 / / 

*5 / / 






XV. 




-i5 


ess 


H* / /- 

ei:i / Is 






XX. 




-Q 


7ea 


8£S 9 / / s ll 

( •« « / »• / « 1 a 

3?i* / / /i/l 


i 




XXV 




65 


733 


§ 11 / # <» i£ 

/ * M * 


| 




^Xfl 




eo 


e63 


] S \ | 1 £" 

/ » / f 1-2 
' f / f ■ 


| 

I 


2 


XXV 




65 


571 


/ / / 1 / « 
.5 / ° 4 / 3 1 2 


•3 

l 




XL, 








| i'otai sources of Dividend s.ccumulations. 







SPECIMEN OF 

MUTUAL LIFE ESTIMATE BLANK 

Used by its Agents in soliciting Insurance. 



TWENTY -YEAR DISTRIBUTION PLAN. 



Estimate on $10,000. 



At end of 20 years. 



Age, 35. 



Annual Premium, $306.00. 



1st- 



2nd. 



3rd. 



4th. 
5th. 



Total Premiums paid, $6,120.00. 
Can then take either of following options : 

Draw Your Share of Profits $ 4,230 00 

And continue Policy, paying same premium as before, and drawing 
future dividends annually. If you need insurance at that time, 
this will be a great advantage, as the rate would then be $117.00. 

Draw Full Cash Value of Policy $ 7,180 00 

This gives the plan the benefits of an endowment. 

Take a Paid-up Policy for $ 4,760 00 

This will be desirable if you are in need of insurance, yet are unable 
to invest further. 

Take Annual Income for Balance of Life $ 604 90 

Allow Your Share of Profits to Purchase Additional Insurance, 

Increasing Amount of Policy to $ 17,140 00 

And paying same premium as before, less annual dividends. This 
will be an advantage, if you should happen then to need the 
greatest amount of insurance for smallest outlay. Having this 
large surplus in Company's hands, earning 5 per cent, interest, 
.future dividends should very nearly, if not entirely, pay prem- 
iums ; so that the policy will be practically paid up. 
The above illustration is Ordinary Life return premium rate. It will be observed the 
amount of money actually guaranteed by the company is not stated on this Estimate Blank, 
when filled up by the agent in soliciting applications. When the insured obtains his Policy, 
imagine his consternation to find none \oi these estimated values in it. The only figures 
written as to results at end of Distribution Period, 20 years, is the reserve on the policy— $2,950; 
this amount is the only guarantee, except the surplus the company may apportion to this 
Policy. 

The Mutual Life's name does not appear on the Estimate Blanks furnished its 
Agents, neither does its name appear on the Estimate Book given to each agent from which 
the estimated figures are taken. 



52 



MUTUAL LIFE FALLING OFF IN DIVIDENDS! 

Estimated Results on Past Experience by the Mutual, Life as to Dividends is 

misleading, because the shrinkage which has taken place of; late years in the rates of interest 
obtainable on invested funds has, of course diminished the dividend-paying ability of all Life 
Insurance Companies and other financial institutions. 

The following results on Policies issued by the Mutual Life illustrate the decreasing 
dividends now paid by it : 

No. 41.883, issued Jan. 7, 1867; Age 22, $1,000. Ordinary Life Plan, Annual Premium, 
$19.89. (Dividends used as cash in part payment of premium.) 

Dividend for 1885 §8.79 Dividend, 1886 $8.01 

Dividend for 1887 $8.12 Dividend, 1888 $6.86 

No. 237,613, issued Jan. 22, 18S3; Age 44. $3000. Ordinary Life Plan, Annual Premium, 

$92.97. (Dividends used as reversionary additions.) 

Dividend of 1884 $10.17 Dividend, 1885 $11.23 

Dividend of 1886 $ 9.6S Dividend, 1887 $10.42 

Dividend, 1888 $3.03. 



READ YOUR LIFE INSURANCE POLICY CAREFULLY. IT IS THE CONTRACT AS- 
SUMED BY THE COMPANY. 

Not uncommon is it to find persons insured in Tontine Companies under Twenty Pay- 
ment Life Policies with Twenty Year Tontine Periods to have the impression they 
are holding Twenty Year Endowment Policies. 

The Author's observation, in an experience of the last ten years past in the field-work of 
Life Insurance, is that probably over ninety per cent, of those insured on that plan are paying 
their Life Insurance Premiums under this happy (?) delusion. 



53 



MUTUAL LIFE ESTIMATED RESULTS. 



Ordinary Life Policies of $1,000 each. 



TWENTY-YEAR DISTRIBUTION PERIOD (Tontine by another name.) 



|ll 

o 



S 20 50 
23 30 
27 10 
32 20 
39 10 
48 50 
61 60 



• Return 
Premium 
Rates. 
Annual 
Premiums. 


•6 

g! 




~ 


o 


8 22 20 


8 197 


25 70 


242 


30 60 


295 


38 00 


352 


49 90 


413 


71 40 


473 


117 00 


529 



£s 



329 
365 
423 
504 
621 
784 
1022 



^1 






s§UI 

Oo > ~ w 



$ 526 

607 

718 

856 

1034 

1257 

1551 



1075 
1120 
1190 
1295 
1140 
1620 
1885 



8 1691 
1691 
1714 

1774 
1877 
2019 

2230 



iH J_ 

-O p. 

o 



P 410 
466 
542 
644 
782 
970 

1232 



02 

S3mO 

H 



444 
514 
612 



1428 

2340 



FIFTEEN- YEAR DISTRIBUTION PERIOD (Tontine by another name.) 



25 


20 50 


21 60 


122 


184 


3C6 


715 


1428 


307 50 


30 


23 30 


24 70 


154 


202 


356 


750 


1425 


349 50 


35 


27 10 


29 10 


193 


232 


425 


800 


1434 


406 50 


411 


32 20 


35 20 


239 


274 


513 


870 


1463 


483 00 


45 


39 10 


44 40 


289 


336 


625 


960 


1513 


5S6 50 


50 


48 50 


59 10 


342 


423 


765 


1080 


1597 


727 50 


55 


61 60 


85 00 


396 


553 


919 


1240 


1723 


924 00 



S24 00 
370 50 
436 50 
528 00 
666 00 
886 50 
1275 00 



TEN- YEAR DISTRIBUTION PERIOD (Tontine by another name.) 



20 50 


21 00 


73 


93 


166 


430 


1240 


205 


23 30 


24 00 


92 


100 


192 


450 


1233 


233 


27 10 


28 10 


117 


115 


232 


490 


1242 


271 


32 20 


33 50 


148 


135 


283 


535 


1255 


322 


39 10 


41 30 


183 


164 


347 


590 


1277 


391 


48 50 


52 70 


222 


205 


427 


660 


1317 


485 


61 60 


70 30 


264 


268 


532 


750 


1377 


616 



210 
240 
281 
335 
413 
527 
703 



Ten Payment Life Policies of $1,000 each. 



TEN- YEAR DISTRIBUIION PERIOD (Tontine by another name.) 



sis 

fifes 



Sa£ 



25 
30 i 
35 
40 

45 
50 

55 



$ 43 50 
48 00 
53 60 
60 40 
69 00 
79 60 
93 00 



§ 46 00 
51 00 
57 30 
65 40 
76 20 
91 40 
114 30 






1* 


Kg 


3 '-3 

CO VI 


$ 293 


$137 


330 


150 


376 


167 


430 


187 


490 


218 


556 


257 


625 


313 



3fl 



lilll 



8 430 
480 
543 
617 
708 
813 



$ 1355 
1350 
1350 
1355 
1370 
1395 
1440 



.s ° 



8 435 

480 
536 
604 
690 
796 
930 



■g £1-?— < 
H 



>460 
510 
573 
654 
762 
914 

1143 



FIFTEEN YEAR DISTRIBUTION PERIOD (Tontine by another name.) 



25 


43 50 


48 10 


330 


226 


556 


1530 


435 


30 


48 00 


53 60 


376 


247 


623 


1520 


480 


35 


53 60 


60 70 


430 


276 


706 


1520 


536 


40 


60 40 


70 40 


490 


310 


800 


1530 


604 


15 


69 00 


84 50 


556 


360 


916 


1555 


690 


50 


79 60 


106 80 


625 


420 


1045 


1590 


796 


55 


93 00 


145 90 


692 


506 


1198 


1660 


930 



481 
536 
607 
704 
845 
1068 
1459 



TWENTY-YEAR DISTRIBUTION PERIOD (Tontine by another name.) 



25 


43 50 


50 00 


414 


365 


779 


1765 


435 


30 


48 00 


56 10 


467 


400 


867 


1760 


480 


35 


53 60 


64 50 


527 


448 


975 


1760 


536 


40 


60 40 


76 50 


590 


503 


1093 


1775 


604 


45 


69 00 


95 80 


656 


579 


1235 


1815 


690 


50 


79 60 


129 30 


719 


674 


1393 


1880 


796 


55 


93 00 


197 50 


1 1 1 


804 


1581 


1980 


930 



500 
561 
645 
765 
958 
1293 
1975 



* Return Premium Rate is a Term Rate added to the Ordinary Rates which provides for 
insurance, sufficient in amount to cover the premium paid, should death occur within the 
Distribution period. 



" Paid-up Policy.— After three full annual premiums have been paid upon this Policy, 
the Company will, upon the legal surrender thereof before the default in payment of any 
premium, or within six months thereafter, issue a policy for paid-up insurance, payable as 
herein provided, for the proportion of the amount of this policy which the number of full 
years' premiums paid bears to the total number required." 

For example : A policy for 810,000 on the ten payment life plan can be exchanged, after 
three annual premiums have been paid, for a paid-up life policy of §3,000 ; after four, for a 
pall-up life policv of §4,000; and after five, of §5,000. 



54 



MUTUAL LIFE ESTIMATED RESULTS. 



Fifteen Payment Life Policies of $1,000 each. 



TEN-YEAR DISTRIBUTION PERIOD (Tontine by another name). 



ill 






a o 



S-2 



SI 



7^ 



O o >^ ^ 



C3 " 

«^a 

>vg.3 

Sog 

"g ^ 

o 

$ 331 
366 
410 
465 
534 
625 
744 



d a .a 
gas 2 

H 



$ 33 10 

36 60 
41 00 
46 50 
53 40 
62 50 
74 40 



$ 34 60 
38 30 
43 10 
49 30 
57 70 
69 50 
S7 40 



3 192 
219 
251 
289 
330 
371 
410 



$ 116 
127 
142 
162 

188 
229 

287 



346 
393 
451 
518 
600 
697 



5 965 
965 
965 
975 
985 
1020 
1070 



$ 1298 
1298 
129S 
1308 
1318 
1354 
1404 



$ 346 
383 
431 
493 
577 
695 
874 



FIFTEEN- YEAR DISTRIBUTION PERIOD (Tontine by another name). 



25 


33 10 
36 60 
41 00 
46 50 
53 40 
62 50 
74 40 


36 10 
40 20 
45 60 
53 00 
63 90 
81 10 
111 50 


330 
376 
430 
490 
557 
625 
692 


237 
259 
291 
332 
387 
469 
587 


567 
635 
721 
822 
944 
1094 
1279 




1555 
1545 
1550 
1565 
1595 
1660 
1765 


496 50 
549 00 
615 00 
697 00 
801 00 
937 50 
1116 00 


8(1 




T> 




40 




45 




5A 




55 









541 50 
603 00 
684 00 
795 00 
958 50 
1216 50 
1672 50 



TWENTY-YEAR DISTRIBUTION PERIOD (Tontine by another name). 



25 


33 10 


37 70 


414 


380 


30 


36 60 


42 40 


467 


418 


35 


41 00 


48 80 


527 


470 


40 


46 50 


58 30 


590 


534 


45 


53 40 


73 60 


650 


620 


50 


62 50 


101 10 


719 


744 


55 


74 40 


159 20 


777 


919 



794 
885 
997 
1124 
1276 
1463 
1696 





1800 
1790 
1800 
1825 
1875 
1970 
2125 


496 50 
549 00 
615 00 
697 00 
801 00 
937 50 
1116 00 

















565 50 

636 00 

732 00 

874 50 

1104 00 

1516 50 

2388 50 



Twenty Payment Life Policies of $1,000 each. 



TEN-YEAR DISTRIBUTION PERIOD (Tontine by another name). 



25 



55 



e3_ 



$ 28 10 
31 10 
35 00 
39 80 
46 20 
54 80 
66 60 



gltfll 

Hill 



29 10 
32 40 
36 50 
41 90 
49 40 
60 20 
76 80 



Ci3 



$144 
166 
192 
223 
256 
289 



II 



$ 107 
117 
131 
149 
176 
216 
276 



?V. 



O o >3 M 



251 

283 
323 
372 
432 
505 
596 



% 1280 
1275 
1275 
1280 
1300 
1335 
1390 



t»4 3 



281 
311 
350 
398 
462 
548 



as a 






$ 291 
324 
365 
419 
494 
602 
768 



FIFTEEN-YEAR DISTRIBUTION PERIOD (Tontine by another name). 



40 



28 10 


30 20 


246 


216 


462 


1505 


421 50 


31 10 


33 70 


283 


237 


520 


1500 


466 50 


35 00 


38 30 


325 


265 


590 


1500 


525 00 


39 80 


44 60 


372 


305 


677 


1520 


597 00 


46 20 


53 90 


421 


361 


782 


1555 


693 00 


54 80 


68 70 


469 


443 


912 


1625 


822 00 


66 60 


94 80 


510 


563 


1073 


1735 


999 00 



453 00 
505 50 
574 50 
669 00 
808 50 
1010 50 
1422 00 



TWENTY-YEAR DISTRIBUTION PERIOD (Tontine by another name). 



25 



28 10 
31 10 
35 00 
39 80 
46 20 
54 80 
66 60 



31 60 
35 50 
41 00 
49 10 
62 20 
86 00 
136 50 



414 
467 
527 
590 
656 
719 
777 



433 
486 
560 
663 
809 
1016 



807 
900 
1013 
1150 
1319 
1528 
1793 



1830 
1820 
1825 
1865 
1935 
2055 
2245 



562 
622 
700 
796 
924 
1096 
1332 



632 

710 

820 

982 

1244 

1720 

2730 



. . Paid-up Policy Ordinary Life Plan, after three annual premiums have been paid upon 
this Policy, the Company will, upon the legal surrender thereof before default in payment of 
any premium, or within six months thereafter, issue a paid-up policv, for the amount required 
by the provisions of the Act of May 21, 1879, Chap. 347, Laws of the State of New York. 
See index for page paid-up values on ordinary life policies. 



55 






New York Life Limited Tontine Estimates. 



Ordinary Life Policies of $1,000 each. 



TWENTY -YEAR TONTINE PERIOD. 



XT. 
CO 

& 


"=* S 
£ ° S 

i<l 
% — 
o 


* Return Pre- 
mium Rales, 
Annual 
Premiums. 


m 
i ii 




2d 

11 


o 

Pi 


ill 


* Total Prem. 

Return 

Premium 

Rates. 


25 


$19 89 


$21 57 


$196 87 


$284 13 


$ 481 


$1165 


$397 80 


$431 40 


30 


22 70 


24 94 ! 242 33 


325 67 


568 


1215 


454 00 


498 80 


35 


26 38 


29 67 


294 75 


390 25 


685 


1300 


527 60 


593 40 


40 


31 30 


36 73 


352 43 


492 57 


845 


1430 


626 00 


734 60 


45 


37 97 


48 10 


412 91 


653 09 


1066 


1625 


759 40 


962 00 


50 


47 18 


68 54 


472 73 


912 27 


1385 


1925 


943 60 


1370 80 


55 


59 91 


111 01 


529 23 


1321 77 


1851 


2380 


1198 20 


2220 20 



FIFTEEN -YEAR TONTINE PERIOD. 



25 


$19 89 


$20 91 


$133 91 


$155 09 


$ 289 


$ 785 


$298 35 


30 


22 70 


24 03 


166 37 


176 63 


343 


830 


340 50 


35 


26 38 


28 22 


205 87 


206 13 


412 


880 


395 70 


40 


31 30 


34 16 


251 53 


250 47 


502 


950 


469 50 


45 


37 97 


42 97 


301 66 


322 34 


624 


1055 


569 55 


50 


47 18 


57 07 


354 05 


424 95 


779 


1190 


707 70 


55 


59 91 


81 81 


406 28 


584 72 


991 


1380 


898 65 



$313 65 
360 45 
423 30 
512 40 
644 55 
856 05 

1227 15 



TEN -YEAR TONTINE PERIOD. 



25 


$19 89 


S20 40 


$ 80 82 


$ 53 18 


$ 134 


$410 


$198 90 


30 


22 70 


23 35 


101 01 


59 99 


161 


440 


227 00 


35 


26 38 


27 25 


126 26 


69 74 


196 


475 


263 SO 


40 


31 30 


32 57 


157 19 


83 81 


241? 


515 


313 00 


45 


37 97 


40 06 


192 85 


104 15 


297 


565 


379 70 


50 


47 18 


51 08 


231 64 


132 36 


364 


615 


471 80 


55 


59 91 


68 06 


272 64 


172 36 


445 


6S0 


599 10 



$204 00 
233 50 
272 50 
325 70 
400 60 
510 80 
680 60 



Ten Payment Life Policies of $1,000 each. 



TEN -YEAR TONTINE PERIOD. 



25 


$42 56 


$45 20 


$328 81 


$61 19 


$ 390 


$1185 


$425 60 


30 


46 97 


50 10 


367 58 


68 42 


436 


1185 


469 70 


35 


52 40 


56 27 


413 55 


7S 45 


492 


1190 


524 00 


40 


59 09 


64 18 


466 99 


95 01 


562 


1205 


590 90 


45 


67 37 


74 81 


526 65 


114 35 


641 


1215 


673 70 


50 


77 77 


89 85 


590 46 


143 54 


734 


1245 


777 70 


55 


90 79 


112 33 


655 70 


182 30 


838 


1280 


907 90 



$452 00 
501 00 
562 70 
641 80 
748 10 
898 50 

1123 30 



* Return Premium Rate is a term rate added to the ordinary Rates which provides for 
insurance, sufficient in amount to cover the premiums paid, should death occur before the 
expiration of the Tontine period. 

-j-The estimated surplus on Return Premium Plan can be obtained by the following rule : 
When the number of cents exceeds 50, add $1.00, when the number of cents is less thau 50, 
drop the cents. The Estimated Cash Value is the same on both Ordinary and Return 
Premium plans. 



56 











New York Life Limited Tontine Estimates. 




Twenty Payment Life Policies of $1,000 each. 




TWENTY -YEAR TONTINE PERIOD. 


ji 






-C 




OQ 










Age at issue. 

Ordinary Kate 

Annual 

Premiums. 


*a R 


O 


'~ S c3 

o 


© .<2 

-si! 

o 


o_Scd 

I'll 

o-i o 


o 


oq" CO 

n'aYa 

0h Ph 


&a«^ 


a^ a 
>a^a 

c§ M .2 

Oh 


g|s . 

•3H-5 

Oh ti 
$1755 


25 827 39 


§30 85 


$413 55 


8276 45 


$ 690 


$1670 


$547 80 


8617 00 


$ 312 


$ 726 


1 30 30 36 


34 70 


466 99 


322 01 


789 


1695 


607 20 


694 00 


368 


835 


1790 


• 35 34 08 


40 03 


526 65 


384 35 


911 


1730 


681 60 


800 60 


452 


979 


1860 


40 38 83 


47 90 


590 46 


467 54 


1058 


1795 


776 60 


958 00 


577 


1167 


1980 


45 45 03 


60 54 


655 79 


598 30 


1254 


1910 


900 60 


1210 80 


805 


1461 


2230 


50 53 38 


83 33 


718 96 


827 04 


1546 


2150 


1067 60 


1666 60 


1292 


2011 


2795 




FIFTEEN -YEAR TONTINE PERIOD. 






■ 


$27 39 


§29 47 


$274 66 


$145 34 


$ 420 


$1140 


8410 85 


$442 05 


$ 154 


$ 429 


$1165 


30 


30 36 


32 89 


311 24 


165 76 


477 


1155 


455 40 


493 35 


176 


487 


1180 


35 


34 OS 


37 35 


353 28 


195 72 


549 


1175 


511 20 


560 25 


210 


563 


1205 


40 


38 83 


43 48 


399 07 


222 93 


633 


1200 


582 45 


652 20 


256 


655 


1245 


45 


45 03 


52 46 


445 90 


294 10 


740 


1255 


675 45 


786 90 


330 


776 


1315 


50 


53 38 


66 71 


490 25 


381 75 


875 


1335 


800 70 


1000 65 


457 


947 


1445 




TEN -YEAR TONTINE PERIOD. 






25 


827 39 


828 42 


$162 83 


$ 57 17 


$ 220 


$ 670 


$273 90 


$284 20 


$ 58 


$221 


$ 670 


I 30 


30 36 


31 59 


185 10 


64 90 


250 


680 


303 60 


315 90 


66 


251 


680 


j 35 
! 40 


34 08 


35 60 


211 23 


73 77 


285 


690 


340 80 


356 09 


76 


287 


690 


38 83 


40 87 


241 12 


89 88 


331 


710 


388 30 


408 70 


92 


333 


715 


* 45 


45 03 


48 09 


272 99 


110 01 


383 


730 


450 30 


480 90 


114 


387 


735 


; 50 


53 38 


58 54 


304 38 


140 62 


445 


755 


533 80 


585 40 


147 


451 


765 




Fifteen Payment Life Policies of $1,00 


O each. 






TEN -YEAR TONTINE PERIOD. 






! 25 


§32 34 


$33 81 


$216 97 


$ 58 03 


$ 275 


$ 835 


$323 40 


$338 10 


$ 60 


$ 277 


$ 840 


! [■■) 


45 76 


37 50 


244 46 


66 54 


311 


845 


357 60 


357 00 


68 


313 


850 


35 


40 01 


42 17 


276 78 


76 22 


353 


855 


400 50 


421 70 


79 


356 


860 


40 


45 33 


48 19 


313 68 


90 32 


404 


865 


453 30 


481 90 


94 


408 


875 


1 45 


52 11 


56 33 


353 30 


110 70 


464 


880 


521 10 


563 30 


117 


470 


895 


■ EjO 


6(1 91 


67 87 


392 74 


140 26 


533 


905 


609 10 


678 70 


151 


544 


920 


bS 

1 


72 50 


85 20 


428 85 


181 15 


610 


930 


725 00 


852 90 


203 


632 


960 




FIFTEEN -YEAR TONTINE PERIOD. 






i 25 


832 34 


$35 34 


$367 58 


$155 42 


$ 523 


$1425 


$485 10 


$530 10 


$ 170 


$ 538 


$1460 
1470 
2480 


30 


35 76 


39 40 


413 55 


175 45 


589 


1425 


536 40 


591 00 


193 


607 


35 


49 01 


44 69 


466 99 


205 01 


672 


4440 


600 15 


670 35 


229 


696 


40 


45 33 


51 94 


525 65 


244 35 


771 


1465 


679 95 


779 10 


280 


807 


1540 


| 4b 


52 11 


62 55 


590 46 302 54 


893 


1510 


751 65 


938 25 


363 


953 


4615 


1 50 


63 91 


79 34 


655 70 1 387 30 


1043 


1590 


913 65 


1190 10 


505 


1161 


1770 


b5 


72 50 


108 75 


718 96 524 04 


1243 


1730 


1087 50 


1631 25 


786 


1505 


2095 


* Return 


Premium Rate is a Term Rate added to the Ordinary R 


ates, which pro"\ 


•ides fori 


the inauraiM 


•e sufficient in amount to cover the Premiums paid, she 


uld death occu] 


• within n 


the Tontine 


period. 




| 



57 



NEW YORK LIFE 

Estimates on Non-Forfeiting--Tontine Limited Policy. 



One Thousand Dollars payable at Death, should that event occur within 10 years, or if the 

insured survives ten years, an Endowment of $300 will b» paid. Surviving 

15-year period, $400; surviving 20-year period, $500. 



RATE A. TEN- YEAR PERIOD. 



So 



$ 40 80 
41 80 
43 10 
45 20 
48 70 
54 40 
63 80 



{Examples of Extended Insurance. Results at End of 10- Year Period 



3Yrs Pd. 



Term 
Extn'd. 



5Yrs Pd, 



Term 
Extn'd. 



Ph a 



£7: 



$85 
81 
75 
63 
42 
4 



7Yrs Pd. 



Term 
Extn'd 



a o 



$170 
168 
164 
156 
143 
118 
77 



418 
431 
452 
487 
544 
638 






300 
300 



300 



86 
93 
101 
114 
135 
163 
211 






393 
401 
414 
435 
463 
511 



-RATE C, TEN-YEAR PERIOD. 



25 43 60 


7 




5 




91 


3 




175 


436 


300 


97 


397 


30' 44 80 


7 




5 




87 


3 




173 


448 


300 


105 


405 


35 


46 60 


6 


5 


5 




82 


3 




170 


466 


300 


115 


415 


40 


49 40 


5 


9 


5 




72 


3 




164 


494 


300 


129 


429 


45 


54 50 


4 


10 


5 




56 


3 




155 


545 


300 


157 


457 


50 


63 60 


4 




5 




27 


3 




139 


636 


300 


204 


504 


55 


80 30 


3 


4 


4 


8 




3 




117 


803 


300 


281 


581 



RATE A, EIFTEEN-YEAR PERIOD. 



25 


34 90 


5 


4 


10 






8 




77 


523 50 


400 


201 


601 


SO 


35 90 


5 




9 


2 




8 




68 


538 50 


400 


214 


614 


35 


37 40 


4 


8 


8 


1 




8 




53 


561 00 


400 


233 


633 


40 


39 90 


4 


2 


6 


11 




8 




26 


598 50 


400 


265 


665 


45 


44 00 


3 


7 


5 


8 




7 


3 




660 00 


400 


318 


718 


50 


50 70 


2 


11 


4 


5 




5 


5 




760 50 


400 


397 


797 


55 


61 30 


2 


4 


3 


4 




4 






919 50 


400 


536 


936 



•RATE C, FIFTEEN- YEAR PERIOD- 



38 30 

39 SO 
42 20 
46 20 
53 50 
67 40 
95 50 


5 
5 
5 
5 
4 
4 
4 


11 

8 

4 

...... 

3 
2 


10 
10 
9 
8 
6 
6 
5 


"2" 

"ii" 

1 
11 




8 
8 
8 
8 
8 
7 
6 


...... 

11 


89 
82 
71 
52 

20 


574 50 
597 00 
633 00 
693 00 
802 50 
1011 00 
1432 50 


400 
400 
400 
400 
400 
400 
400 


228 
248 
277 
323 
411 
584 
951 


628 
648 
677 
723 
811 
984 
1351 



RATE A, TWENTY-YEAR PERIOD. 



m 


31 10 


4 


3 


7 


11 




12 


1 




622 


500 


335 


835 


30 


32 30 


4 


1 


7 


4 




10 


11 




646 


500 


364 


864 


35 


34 00 


3 


10 


6 


8 




9 


6 




680 


500 


406 


906 


40 


36 90 


3 


7 


5 


11 




7 


11 




738 


500 


476 


976 


45 


41 60 


3 


3 


5 






6 


5 




812 


500 


596 


1096 


50 


49 20 


2 


9 


4 


1 




5 


1 




984 


500 


822 


1322 


55 


61 00 


2 


3 


3 


3 




3 


11 




3220 


500 


1235 


1735 



RATE C, TWENTY-YEAR PERIOD- 



25 


35 40 


5 




9 


2 




13 






708 


500 


403 


903 


|2185 


:-.j 


37 30 


4 


11 


8 


9 




12 


8 




746 


500 


446 


946 


2025 


?: : 


40 50 


4 


10 


8 


3 




11 


5 




810 


500 


516 


1016 


1930 


40 


46 30 


4 


10 


7 


10 




10 


2 




926 


500 


650 


1150 


1950 


45 


57 40 


4 


11 


7 


6 




9 


4 




1148 


500 


919 


1419 


2165 


50 


80 00 


5 


3 


7 


8 




9 


4 




1600 


500 


1511 


2011 


2800 


55 


132 80 


6 


5 


9 


3 




11 


3 




2656 


500 


3042 


3542 


4560 



*If death occurs within the period, a Mortuary Dividend of 100 per cent, of all premiums 
paid will be paid with the face of the policy. 

t A medical examination must be made of the party insured, by an approved examiner, 
upon the blank furnished by the Company, without expense to the Company. Such medical 
examination must be made within ninety days after the termination of the Endowment 
Period, and be approved by the Medical Board at the Home office of the Company. 

% If demand is not made by the insured for the extended insurance within six months 
after lapse by non-payment of premium, the Policy becomes null and void. 



t>t5 



NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY, 

The following is taken from page 4 of the Estimate Book furnished the agents of the 
Northwestern Mutual Life Insurance Company, of Milwaukee, issue of June, 1884: 

" The estimates herein contained were originally prepared for the individual use of the 
undersigned.- Other agents, finding them indispensable in properly and effectually working 
the Semi-Tontine and Tontine plans, they have been published in the present form for their 
accommodation. The premium rates are those in present use by the Northwestern Mutual 
Life Insurance Company; and the ' Estimates ' are based on the dividends of that company 
for 18S4, with 5J4 per cent, compound interest, Actuaries' table of mortality, and a lapse 
probability corresponding with the different plans and Tontine periods. * * * * 

The estimates are computed on the basis of $1,000 in every case. They are not guaranteed, 
and the above-named company has nothing to do with their computation or with this 
publication. Tbey are, however, believed to be conservative. 

The sources of profit constituting the surplus in Tontine and Semi-Ton'ine Policies are 
so variable as to render it impossible to foretell exact results ; and this, with the fact that 
these are only estimates, should be stated to every applicant for this class of Policy." 

* Edw'd J. Smith. 

CXDER OATH.— Emory McClixtock, Actuary Northwestern Mutual Life, before the 
Ohio Senate committee, appointed to investigate Tontine, testified : 

" I do not think that there is any great speculation in Tontine for anybody." 
(Page 173 of Report.) 

H. L. Palmer, President of same company, before same committee : 
'• I believe that the old sytems of life insurance, Ordinary Life and Endowment, are the 
best." 

(Pages 193 and 194, Report.) 



(CONFIDENTIAL.) 

The Northwestern Mutual Life Insurance Company Agents' Sup- 
plementary Statement. 

To be supplied whenever the Insurance exceeds $2,500. 

Agents are expected to consider each question carefully before writing the answers. 
Some of the questions may seem inquisitorial, but they are on matters which the agent would 
bimself inquire into, if he were an officer of the company, needing to know all facts bearing 
on the risk, before deciding on its acceptance. 

Name of Applicant? 

Amount applied for? 

Date of examination ? 

1. Has the examining physician recently made other examinations for this company? If 
not, state his standing and length of residence in the community ; and, if another physician 
has previously made examinations, give the reasons for employing this one. 

2. Were you present at this examination ? 

3. How long have you known the applicant ? If not long, state how you came to know 
him, and what evidence you have that he is the person he represents himself to be. 

4. Is your acquaintance with him sufficiently intimate to make you personally SURE that 
he is, and has been for at least five years, temperate in his habits ? If not, state what his 
reputation is in this respect. 

5. Was this proposed insurance first suggested to him by you, or did the idea originate 
with himself, or with some friend or insurance broker ? 

6. What family has he depending on him for support ? 

7. Does he talk of applying for insurance elsewhere ? If so, how much will he probably 
take altogether ? 

8. At a rough guess, what do his family expenses probably amount to annually ? 

9. About how much is he reputed to be worth ? 

10. Is he reputed to have met with pecuniary losses within the last few years? If so, state 
briefly what you understand to be the facts. 

11. Does he appear depressed or careworn ? If so, state what you suppose to be the cause. 

12. Are his family relations reputed to be harmonious ? 

After careful inquiry, I certify that the foregoing answers are correct, to the best of my 
knowledge and belief. 

, Agent. 

Dated at , 

18S... 



59 



Northwestern Mutual Semi-Tontine. 



Estimates on Ordinary Life Policies of $1,000 Each. 



TWENTY-YEAR ACCUMULATIVE PERIOD. 



6 

xa 

"S 
O 

fcJC 

< 


Si 


>1 

sg 




Cash Value 
Estimated. 


Paid-up Value 

Estimated. 
Non- Partici- 
pating. 


_3 . 

OS =-3 

I'll 

Pi 


25 


$19 63 


$209 84 


$370 16 


$580 00 


$1547 


$392 60 


30 


22 63 


253 29 


434 98 


688 27 


1595 


452 60 


35 


26 49 


301 35 


537 72 


8S9 07 


1711 


529 80 


40 


31 57 


352 84 


680 53 


1033 37 


1856 


631 40 


45 


38 46 


412 91 


894 99 


1307 90 


2088 


769 20 


50 


47 70 


472 73 


1243 10 


1715 83 


2475 


954 00 


55 


60 04 


529 23 


1927 07 


2456 30 


3258 


1280 00 



FIFTEEN-YEAR ACCUMULATIVE PERIOD- 



25 


$19 63 


$144 12 


$189 90 


$334 02 


$1006 


$294 45 


30 


22 63 


176 42 


224 99 


401 41 


1065 


339 45 


35 


26 49 


214 30 


269 15 


483 45 


1123 


397 35 


40 


31 57 


255 70 


331 28 


586 98 


1192 


473 55 


45 


38 46 


301 66 


425 96 


727 62 


1309 


576 90 


50 


47 70 


354 05 


556 20 


910 25 


1455 


715 50 


55 


60 04 


406 28 


789 16 


1195 44 


1729 


900 60 



TEN -YEAR ACCUMULATIVE PERIOD, 



25 


$19 63 


$88 20 


$ 71 86 


$160 06 


$528 


$196 30 


30 


22 63 


107 91 


83 51 


191 42 


549 


226 30 


35 


26 46 


133 41 


96 94 


230 35 


590 


264 90 


40 


31 57 


162 97 


114 17 


277 14 


621 


315 70 


45 


3S 46 


193 79 


151 20 


344 99 


673 


384 60 


50 


47 70 


t2tt 64 


193 38 


425 02 


735 


477 00 


55 


60 04 


|272 64 


256 21 


528 85 


807 


600 40 



Ten-Payment Life Policies of $1,000 Each. 



TEN -YEAR ACCUMULATIVE PERIOD. 



25 


$42 05 


$340 60 


$126 02 


$466 62 


<$1370 


$420 50 


SO 


46 76 


381 04 


138 61 


519 65 


1364 


467 60 


35 


52 38 


428 57 


155 71 


584 28 


1363 


523 80 


40 


59 17 


481 91 


178 78 


660 69 


1371 


591 70 


45 


67 64 


539 31 


213 64 


752 95 


1396 


676 40 


50 


77 99 


599 43 


261 69 


.861 12 


1436 


779 90 


55 


90 50 


660 17 


330 33 


990 50 


1500 


905 00 



FIFTEEN-YEAR ACCUMULATIVE PERIOD- 



25 


$42 05 


$381 04 


$239 18 


$620 22 


••=$1618 


$420 50 


30 


46 76 


428 57 


266 41 


694 98 


1622 


467 60 


35 


52 38 


481 91 


308 65 


790 56 


1640 


523 80 


40 


59 17 


539 31 


360 60 


899 91 


1670 


591 70 


45 


67 64 


599 43 


446 28 


1045 71 


1744 


676 40 


50 


77 99 


660 17 


565 36 


1225 53 


1857 


779 90 


55 


90 50 


718 96 


778 73 


1497 69 


20S4 


905 00 



TWENTY -YEAR ACCUMULATIVE PERIOD. 



25 


$12 05 


$428 57 


$425 35 


$853 92 


*$1992 


$420 50 


30 


46 76 


481 91 


485 77 


967 68 


2007 


467 60 


35 


52 38 


539 31 


573 36 


1112 67 


2063 


523 80 


40 


59 17 


599 43 


698 19 


1297 62 


2165 


591 70 


45 


67 64 


660 17 


893 83 


1554 00 


2354 


676 40 


50 


77 99 


718 96 


1203 44 


1922 40 


2675 


779 90 


55 


90 50 


777 16 


1811 69 


25S8 85 


3346 


905 00 



* Participating. 

ht The-e figures are wrong, as printed in Northwestern Agents' Estimate book, 
ge 50 is $226.84; at age 55 it is $262.35. 



The reserve ; 



60 



Northwestern Mutual Semi-Tontine. 



Estimates on Fifteen-Payment Life Policies of $1,000 Each. 



FIFTEEN -YEAR ACCUMULATIVE PERIOD. 



■3§ 



531 S7 

35 53 
39 94 
45 39 
52 39 
61 24 
72 48 



25 



S381 04 
42S 57 
4S1 91 
539 31 
599 43 
660 17 
718 96 



1295 79 
333 23 
384 39 

448 10 
547 18 
683 72 
922 82 



$676 83 
761 80 
866 30 
987 41 
1146 61 
1343 89 
1641 78 



r 



$1776 
1777 
1798 
1830 
1913 
2035 
2284 



$478 05 
532 95 
599 10 
680 85 
785 85 
918 60 

1087 20 



TWENTY-YEAR ACCUMULATIVE PERIOD. 



$31 87 
35 53 
39 94 
45 39 
52 39 
61 24 
72 48 



$428 57 
481 91 
539 31 
599 43 
660 17 
718 96 
777 16 



$459 77 
524 76 
618 19 
750 57 
956 50 
1281 04 
1916 17 



$888 34 
1006 67 
1157 50 
1350 00 
1616 67 
2000 00 
2693 33 



:=$2073 
2087 
2146 
2252 
2449 
2773 
3481 



$478 05 
532 95 
599 10 
680 85 
785 85 
918 60 

1087 20 



Twenty-Payment Life. 



FIFTEEN- YEAR ACCUMULATIVE PERIOD. 



25 



$26 95 
30 12 
34 01 
38 92 
45 38 
53 82 
64 95 



$285 79 
322 90 
363 97 
406 53 
448 21 
490 25 
528 25 



$225 63 
264 00 
322 36 
404 70 
506 26 
661 33 
870 95 



$511 42 
586 90 
686 33 
811 23 
954 47 
1151 58 
1399 20 



t$1545 
1555 
1594 
1649 
1711 
1837 
1981 



$404 25 
451 80 
510 15 
583 80 
680 70 
807 30 
974 25 



TWENTY-YEAR ACCUMULATIVE PERIOD- 



$26 95 
30 12 
34 01 
38 92 
45 38 
53 82 
64 95 



$428 57 
481 91 
539 31 
599 43 
660 17 
718 96 
777 16 



$508 13 

579 49 

681 59 

824 47 

1045 20 

1390 31 

2062 91 



$936 70 
1061 40 
1220 90 
1423 90 
1705 20 
2109 27 
2840 07 



♦52185 
2202 
2263 
2375 
2583 
2935 
3673 



$539 00 
602 40 
680 20 
778 40 
907 60 
1076 40 
1299 00 



Participating. 



t Non-participating. 



Table of Proportionate Heights and "Weights 

Of Healthy Men, with Variations Allowed by Life Insurance Companies in 
the Medical Selection of Applicants for Insurance. 



Heights. 


Weights. 


Feet. Inches. 


Minimum 
Pounds. 


Average 
Pounds. 


Maximum 
Pounds. 


5 4 


108 


135 


162 


5 4J4 


110 


138 


165 


5 5 


112 


140 


168 


5 5% 


113 


142 


170 


5 6 


114 


143 


172 


5 6% 


115 


144 


173 


5 7 


116 


145 


174 


5 IM 


117 


147 


176 


5 8 


118 


148 


178 


5 8% 


121 


152 


181 


5 9 


124 


155 


186 


5 W/z 


126 


158 


189 


5 10 


128 


160 


192 


5 10>£ 


130 


163 


195 


5 11 


132 


165 


198 


5 llVi 


134 


168 


200 


6 


136 


170 


204 



Note.— Some Companies allow a greater variation than the above figures. 



6 





THE AMERICAN TABLE. 




Age. 


Expectation 
of Life. 


Number 

Dying of Each 

1000 


Age. 


Expectation 
of Life. 


Number 

Dying of Each. 

1000 


20 


42.20 


7.81 


58 


15.39 


22.94 


21 


41.53 


7.85 


59 


14.74 


24.72 


22 


40.85 


7.90 


60 


14.09 


26.69 


23 


40.17 


7.95 


61 


13.47 


28.88 


24 


39.49 


8.01 


62 


12.86 


31.29 


25 


38.81 


8.07 


63 


12.26 


33.94 


26 


38.11 


8.13 


64 


11.67 


36.87 


27 


37.43 


8.19 


65 


11.10 


40.13 


28 


36.73 


8.27 


66 


10.54 


43.71 


29 


36.03 


8.34 


67 


10.00 


47.65 


30 


35.33 


8.42 


68 


9.47 


52.00 


31 


34.62 


8.51 


69 


8.97 


56.76 


32 


33.92 


8.61 


70 


8.48 


61.99 


33 


33.21 


8.71 


71 


8.00 


67.66 


34 


32.50 


8.83 


72 


7.55 


73.73 


35 


31.78 


8.95 


73 


7.11 


80.18 


36 


31.07 


9.09 


74 


6.68 


87.03 


37 


30.35 


9.24 


75 


6.27 


94.37 


38 


29.62 


9.41 


76 


5.88 


102.31 


39 


28.90 


9.59 


77 


5.49 


111.06 


40 


28.18 


9.79 


78 


5.11 


120.83 


41 


27.45 


10.01 


79 


4.74 


131.73 


42 


26.72 


10.25 


80 


4.39 


144.47 


43 


25.99 


10.52 


81 


4.05 


158.60 


44 


25.27 


10.82 


82 


3.71 


174.30 


45 


24.54 


11.17 


83 


3.39 


191.56 


46 


23.80 


11.56 


84 


3.08 


211.36 


47 


23.08 


12.00 


85 


2.77 


235.55 


48 


22.36 


12.52 


86 


2.47 


265.68 


49 


21.63 


13.10 


87 


2.18 


303.02 


50 


20.91 


13.78 


88 


1.91 


346.69 


51 


20.20 


14.54 


89 


1.66 


395.86 


52 


19.49 


15.39 


90 


1.42 


454.54 


53 


18.79 


16.34 


91 


1.19 


532.46 


54 


18.09 


17.40 


92 


.98 


634.25 


55 


17.40 


18.58 


93 


.80 


734.17 


56 


16.72 


19.88 


94 


.64 


857.14 


57 


16.05 


21.33 


95 


.50 


1000.00 



Constructed from the American Experience Table of Mortality, 
showing the chances, at a given age, of dying within a speci- 
fied number of years thereafter. 





s.s 


S.S 


° 1 O ji 


8.2 


S.S 




^.a 


H^ 


^a . 


1-1 .3 . 


'-^ . 


^rd . 




flSg 




AS 2 


•St! h 






Age. 


s|l 


$ be? 


§&oS> 


w " 


SbcS? 

CO **» 


CO "^ 




3-£S 






9TW 








&"3 


A^ 


A-e 


#>o 


J!^ 


fl*0 




o- 


o<g 


o-g 


©is 


o-g 


©"S 


25 


8.10 


12.27 


16.67 


21.60 


27.48 


34.95 


26 


8.18 


12.43 


16.95 


22.05 


28.25 


36.20 


27 


8.27 


12.59 


17.24 


22.55 


29.10 


37.51 


28 


8.37 


12.77 


17.55 


23.11 


30.04 


38.96 


29 


8.47 


12.97 


17.91 


23.74 


31.08 


40.54 


30 


8.59 


13.19 


18.30 


24.43 


32.21 


42.25 


31 


8.71 


13.43 


18.74 


25.21 


33.46 


44.10 


32 


8.85 


13.69 


19.24 


26.07 


34.83 


46.08 


33 


9.00 


13.99 


19.79 


27.02 


36.32 


48.21 


34 


9.17 


14.32 


20.41 


28.06 


37.94 


50.47 


35 


9.35 


14.69 


21.09 


29.22 


39.70 


52.86 


36 


9.55 


15.10 


21.86 


30.48 


41.59 


55.39 


37 


9.78 


15.57 


22.71 


31.87 


43.63 


58.02 


38 


10.03 


16.10 


23.66 


33.39 


45.82 


60.76 


39 


10.31 


16.68 


24.70 


35.04 


48.15 


63.56 


40 


10.63 


17.34 


25.85 


36.83 


50.62 


66.41 


41 


10.99 


18.07 


27.11 


38.76 


53.22 


69.28 


42 


11.40 


18.89 


28.50 


40.85 


55.95 


72.14 


43 


11.86 


19.80 


30.02 


43.08 


58.77 


74.99 


44 


12.37 


20.80 


31.68 


45.47 


61.68 


77.77 


43 


12.96 


21.92 


33.48 


48.00 


64.63 


80.49 


46 


13.61 


22.14 


35.43 


50.67 


67.60 


83.12 


47 


14.34 


24.49 


37.53 


53.47 


70.58 


85.63 


48 


15.15 


25.96 


39.78 


56.38 


73.53 


87.99 


49 


16. 04 


27.58 


42.19 


59.37 


76.43 


90.17 


50 


17.03 


29.32 


44.75 


62.41 


79.26 


92.14 


51 


18.12 


31.20 


47.45 


65.48 


82.01 




52 


19.31 


33.24 


50.28 


68.56 


84.64 




53 


20.61 


35.43 


53.23 


71.61 


87.14 




54 


22.03 


37.77 


56.26 


74.63 


89.41 




55 


23.58 


40.26 


59.36 


77.58 


91.50 




56 


25.26 


42.91 










57 


27.07 


45.69 










58 


29.03 


48.60 










59 


31.14 


51.61 










60 


33.41 


54.70 








EXPIiANATION — A1 


; age 40, what are the chances of living 20 years longei 


" ? By looking 
e 40, there will 


under the heading " Ch 


ances in 100 of dying within 20 years," at the right of ag 


be found 25.85. Subtracting this from 100 leaves 74.15. A little more tnan <i cr 


lances in 100 to 


live, and a trifle less than 26 chances to die, in the next 20 years, and similarly 


with reference 


1 to any other age or time. Used by agents in Endowments. 





62 



MUTUAL LIFE FIVE-YEAR DISTRIBUTION PREMIUMS. 

Note.— In the Mutual Life Five- Year Distribution Plan, with a return of all premiums 
paid, in event of death within any five year period, the Annual Premiums are the same as in 
the New York Life Five- Year Dividend Policies, with a Mortuary Dividend of 100 per cent. 
of all premiums paid during the five-year period in which death may occur. 

(See pages 66 and 67.) 



63 



' Five-Year Distribution Policy of the Mutual Life Insurance Coni- 








pany, of New York. 






Cash Surrender Values per $1,000. 




LIFE-PLAN PREMIUMS FOR LIFE. 


LIFE-PLAN PREM'S 
FOR 10 YRS. 


LIFE-PLAN PREM'S 
FOR 15 YRS. 




Age 


At the End of 


Age 


At End of 


At End of 




at 
Issue. 


5 Yrs. 


10 Yrs. 


15 Yrs. 


20 Yrs. 


25 Yrs. 


at 
Issue. 


5 Yrs. 


10 Yrs. 


5 Yrs. 


10 Yrs. 


15 Yrs. 




25 


$ 26 


$ 73 


§122 


$181 


$252 


25 


$102 


$293 


$67 


$192 


$330 




26 


27 


76 


128 


190 


263 


26 


105 


300 


69 


197 


339 




27 


28 


80 


134 


199 


274 


27 


107 


307 


71 


203 


348 




28 


30 


84 


140 


208 


285 


28 


110 


315 


73 


208 


357 




29 


31 


88 


147 


217 


297 


29 


113 


322 


75 


213 


366 




30 


33 


92 


154 


227 


309 


30 


115 


330 


77 


219 


376 




31 


35 


97 


161 


237 


321 


31 


118 


339 


79 


225 


386 




32 


36 


101 


169 


247 


334 


32 


122 


348 


81 


231 


896 




33 


38 


106 


176 


257 


347 


33 


125 


357 


84 


238 


407 




\ 34 


40 


112 


185 


268 


360 


34 


128 


366 


86 


245 


418 




35 


42 


117 


193 


279 


373 


35 


131 


376 


89 


251 


430 




36 


44 


123 


202 


290 


386 


36 


135 


386 


91 


258 


441 




37 


46 


129 


211 


302 


899 


37 


139 


396 


94 


266 


453 




38 
! 39 


49 


135 


220 


313 


413 


38 


143 


407 


96 


273 


465 




51 


141 


229 


325 


426 


39 


147 


418 


99 


281 


478 




\ 40 


54 


148 


239 


337 


440 


40 


151 


430 


102 


289 


490 




i 41 


57 


154 


249 


350 


453 


41 


155 


441 


105 


297 


503 




i 42 


59 


161 


258 


362 


467 


42 


159 


453 


108 


305 


516 




43 


62 


169 


269 


374 


480 


43 


163 


465 


112 


313 


530 




44 


65 


176 


279 


387 


493 


44 


168 


478 


115 


321 


543 




45 


68 


183 


289 


399 


507 


45 


173 


490 


118 


330 


557 




i 46 


72 


191 


300 


411 


519 


46 


177 


503 


121 


338 


570 




47 


75 


199 


310 


424 


532 


47 


182 


516 


125 


346 


584 




48 


78 


206 


321 


436 


545 


48 


187 


530 


128 


355 


598 




49 


82 


214 


332 


448 


557 


49 


191 


543 


131 


363 


611 




50 


85 


222 


312 


460 


570 


50 


196 


556 


134 


371 


625 




51 


89 


230 


353 


472 


582 


51 


201 


570 


138 


379 


639 




52 


92 


239 


364 


484 


595 


52 


205 


584 


141 


387 


652 




53 


96 


247 


375 


495 


607 


53 


210 


598 


144 


395 


666 




54 


100 


255 


385 


507 


620 


54 


215 


611 


147 


402 


679 




55 


103 


264 


396 


518 


634 


55 


219 


625 


150 


410 


692 




56 


107 


272 


406 


530 


647 


56 


223 


639 


153 


417 


705 




57 


111 


281 


416 


542 


661 


57 


228 


652 


156 


423 


718 




58 


115 


289 


426 


554 


675 


58 


232 


666 


159 


430 


730 




59 


119 


297 


436 


566 


689 


59 


236 


679 


161 


436 


742 




60 


123 


306 


446 


579 


705 


60 


240 


692 


161 


441 


754 




LIFE-PLAN PREMIUMS FOR 20 YEARS. 


E ND O W M E I 
Premiums Us 


S T T POLICY. 
til, Maturity. 




Age 

at 
Issue. 


At End c 


)F 




5 Years. 


10 Years. 15 ' 


Fears. 


2i 


3 Years. 




25 

26 
27 
28 
29 
30 
31 
32 


$ 51 
52 
53 
55 
57 
58 
60 


$144 


$ 


246 


fl&7fi 




148 
152 
157 
161 
166 
171 




253 
260 
267 
275 
283 
291 


V 386 
396 
407 
418 
430 
441 


Age 

AT 

Issue. 


At Death, 

OR IN 

10 Years. 


At Death or in 
15 Years. 




At End of 


At End of 1 At End of 




62 


176 




299 
308 


453 




5 Years. 


5 Years. 


10 Years. 




33 


64 


181 




465 












34 


66 


186 




316 


478 


25 


$348 


$201 


$577 




35 


68 


192 




325 


490 


30 


347 


201 


576 




36 


70 


198 




334 


503 


35 


347 


200 


575 




37 


72 


204 




344 


516 


40 


346 


200 


574 




38 


75 


210 




353 


530 


45 


345 


200 


572 




39 


77 


216 




363 


543 


50 


343 


200 


568 




40 


80 


223 




372 


557 


55 


339 


198 


561 




41 


82 


229 




382 


570 


60 


332 


197 


549 




42 
43 


85 
87 • 


236 
212 




392 
402 


584 
598 


















44 


90 


249 




412 


611 








45 


93 


256 




421 


625 


At Death ob 


in 20 Years. 




46 


96 


262 




431 


639 








47 
48 
49 
50 
51 


99 
101 
104 
107 


269 
276 
282 
289 




441 
450 
459 
469 


652 
666 
679 
692 










Age at 


At End of 


At End of 


At End of 




110 


295 




477 


705 


Issue. 


5 Years. 


10 Years. 


15 Years 




52 
53 


113 
116 


301 

308 




486 
494 


718 
730 






















54 


118 


314 




502 


742 


25 


$130 


$373 


$645 




55 


121 


320 




510 


754 


30 


130 


373 


645 




56 


124 


326 




517 


766 


35 


131 


373 


644 




57 


127 


331 




524 


778 


40 


132 


374 


643 




58 


130 


337 




530 


790 


45 


134 


375 


640 




59 


133 


342 




535 


802 


50 


136 


377 


636 




60 

■ ■ ■»■■•■.■■■■■ 


136 


347 




541 


813 


55 


140 


378 


628 





64 



Five-Year Distribution Policy of the Mutual Life Insurance Com- 
pany, of New York. 



Cash Surrender Values per $1,000. 



ENDOWMENT POLICY. 

PREMIUMS UNTIL MATURITY. 

At Death, ok in 25 Years. 



Age 

at 

Issue. 


At End 

of 
5 Years. 


At End 

of 
10 Years. 


At End 

of 
15 Years. 


At End 

of 
20 Years. 


25 


$ 90 


$257 


$444 


$685 


30 


90 


25S 


444 


684 


35 


92 


261 


446 


684 


40 


94 


266 


449 


683 


45 


99 


273 


454 


681 


50 


106 


284 


461 


677 



Payable at Death, or in 30 Years. 



Age 

at 

Issue. 


At End 

of 
5 Y^rs. 


At End 

of 
10 Yrs. 


At End 

of 
15 Yrs. 


At End At End 

of of 
20 Yrs, j 25 Yrs. 


25 


$65 


$186 


$319 


$490 


$710 


30 66 


189 


323 


492 


710 


35 


69 


194 


329 


497 


710 


40 


73 


205 


341 


504 


710 


45 


81 


221 


357 


515 


710 



ENDOWMENT POLICY. 
Premiums for Ten Years. 





At Death, or 


At Death, or 


At Death, or 


At Death, or 




in 15 Years. 


in 20 Years. 


in 25 Years. 


in 30 Years. 


Age 










AT 


















Issue. 


At End 


At End 


At End 


At End 


At End 


At End 


At End 


At End 




of 


of 


ot 


of 


of 


of 


of 


of 




5 Years. 


10 Years. 


5 Years. 


10 Years. 


5 Years. 


10 Years. 


5 Years. 


10 Years. 


25 


$280 


$805 


$229 


$657 


$190 


$544 


$160 


$459 


30 


280 


806 


229 


658 


191 


548 


163 


467 


35 


280 


806 


230 


661 


193 


555 


167 


479 


40 


280 


807 


232 


666 


198 


566 


175 


500 


45 


281 


809 


235 


675 


205 


585 


187 


532 


50 


281 


813 


240 


688 


215 


614 






55 


281 


818 


246 


709 










60 


280 


826 















SEMI- ENDOWMENT POLICY. 

Premiums Until Maturity. 

Policy payable for half the amount in 20 years, or for full amount in case of prior death. 



AOE AT 


At End of 5 


At End of 10 


At End of 15 


Issue. 


Years. 


Years. 


Years. 


25 


$ 66 


$189 


$325 


30 


67 


191 


327 


35 


69 


195 


331 


40 


73 


203 


338 


45 


79 


215 


348 


50 


89 


234 


364 


55 


102 


259 


887 


60 


119 


291 


414 



Q5 



Premium for $1,000 Policy on the Five- Year Dividend Plan of the 




New York Life Insurance Company. 


A Mortuary Dividend of ONE HUNDRED per cent, of all premiums paid during the five- 
year period in which death may occur will be paid with the amount of the policy. 


Age. 


Ordinary Life. 

R Aere. 


Fifteen-Payment Life. 


Annual. 


Semi-Ann'l 


Quarterly.! 


Annual. 


Semi-Ann'l 


Quarterly. 


25 
' 26 
27 
28 
29 


$21 80 

22 40 

23 00 

23 70 

24 40 


$11 34 
11 65 

11 96 

12 32 
12 69 


$5 78 

5 94 

6 10 
6 28 
6 47 


25 
26 
27 
28 
29 


$34 20 

34 90 

35 60 

36 40 

37 20 


$17 78 
18 15 
18 51 

18 93 

19 34 


$ 9 06 
9 25 
9 43 
9 65 
9 86 


30 
31 
32 
33 
34 


25 10 

25 80 

26 60 

27 50 

28 50 


13 05 
13 42 

13 83 

14 30 
14 82 


6 65 

6 84 

7 05 
7 29 
7 55 


30 
31 
32 
33 
34 


38 00 

38 90 

39 80 

40 70 

41 70 


19 76 

20 23 

20 70 

21 16 
21 68 


10 07 
10 31 
10 55 

10 79 

11 05 


35 
36 
37 
38 
39 


29 50 

30 60 

31 70 

32 90 
34 20 


15 34 

15 91 

16 48 

17 11 
17 78 


7 82 

8 11 
8 40 

8 72 

9 06 


35 

36 
37 
38 
39 


42 70 

43 80 

45 00 

46 20 

47 50 


22 20 

22 78 

23 40 

24 02 
24 70 


U 32 
11 61 

11 93 

12 24 
12 59 


40 
41 
42 
43 

44 


35 60 

37 10 

38 70 
40 40 
42 20 


18 51 

19 29 

20 12 

21 01 
21 94 


9 43 

9 83 

10 26 

10 71 

11 18 


40 
41 
42 
43 
44 


48 80 

50 20 

51 70 
53 30 
55 00 


25 38 

26 10 

26 88 

27 72 

28 60 


12 93 

13 30 

13 70 

14 12 
14 58 


45 
46 
47 
48 
49 


42 20 
46 30 
48 60 
51 10 
53 80 


22 98 

24 08 

25 27 

26 57 

27 98 


11 71 

12 27 

12 88 

13 54 

14 26 


45 
46 
47 
48 
49 


56 90 
58 90 
61 00 
63 30 
65 70 


29 59 

30 63 

31 72 

32 92 
34 16 


15 08 

15 61 

16 17 

16 77 

17 41 


50 

51 
52 
53 
54 


56 80 
60 00 
63 40 
67 10 
71 20 


29 54 

31 20 

32 97 
34 89 
37 02 


15 05 

15 90 

16 80 

17 78 

18 87 


50 

51 
52 
53 
54 


68 30 
71 10 
74 10 
77 40 
81 00 


35 52 

36 97 
38 53 
40 25 
42 12 


18 10 

18 84 

19 64 

20 51 

21 47 


55 
56 
57 
58 
59 


75 60 

80 40 
85 70 
91 50 
97 90 


39 31 
41 81 

44 56 
47 58 
50 91 


20 03 

21 31 

22 71 

24 25 

25 94 


55 

56 
57 
58 
59 


84 80 
89 00 
93 60 
98 70 
104 30 


44 10 
46 28 
48 67 
51 32 
54 24 


22 47 

23 59 

24 80 

26 16 

27 64 


60 


105 00 


54 60 


27 83 


60 


110 60 


57 51 


29 31 


Age. 


Ten-I 


3 ayment Life. 


Age. 


Twenty-Payment Life. 


Annual. 


Semi-Ann'l 


Quarterly. 


Annual. 


Semi-Ann'l 


Quarterly. 


25 

26 
27 
28 
29 


$44 90 

45 80 

46 70 

47 70 

48 70 


$23 35 

23 82 

24 28 

24 80 

25 32 


$11 90 
12 14 
12 38 
12 64 
12 91 


25 
26 
27 
28 
29 


$29 10 

29 70 

30 30 

31 00 
31 70 


$15 13 
15 44 

15 76 

16 12 
16 48 


$7 71 

7 87 

8 03 
8 22 
8 40 


30 
31 
32 
33 
. 34 


49 70 

50 70 

51 80 

53 00 

54 30 


25 84 

26 36 

26 94 

27 56 

28 24 


13 17 
13 44 

13 73 

14 05 
14 39 


30 

31 
32 
33 
34 


32 40 

33 10 

33 90 

34 80 

35 70 


16 85 

17 21 

17 63 

18 10 
18 56 


8 59 

8 77 

8 98 

9 22 
9 46 


35 

36 
37 
38 
39 


55 60 

57 00 

58 50 

60 00 

61 50 


28 91 

29 64 

30 42 

31 20 
31 98 


14 73 

15 11 
15 50 

15 90 

16 30 


35 
36 
37 
38 
39 


36 60 

37 60 

38 60 

39 70 

40 90 


19 03 

19 55 

20 07 

20 64 

21 27 


9 70 

9 96 

10 23 

10 52 

10 84 


40 
41 
42 
43 
44 


63 10 

64 80 
66 60 
68 50 
70 50 


£2 81 

33 70 

34 63 

35 62 

36 66 


16 72 

17 17 

17 65 

18 15 
18 68 


40 
41 
42 
43 
44 


42 10 

43 40 

44 80 
46 30 
48 00 


21 89 

22 57 

23 30 

24 08 
24 96 


11 16 
11 50 

11 87 

12 27 
12 72 


45 

46 
47 
48 
49 


72 70 
75 00 
77 40 
80 00 
82 70 


37 SO 

39 00 

40 25 

41 60 
43 00 


19 27 

19 88 

20 51 

21 20 
21 92 


45 
46 
47 
48 
49 


49 80 
51 80 
53 90 
56 10 
58 50 


25 90 

26 94 

28 03 

29 17 

30 42 


13 20 

13 73 

14 28 

14 87 

15 50 


50 
51 
52 
53 
54 


85 60 
88 70 
92 00 
95 50 
99 30 


44 51 

46 12 

47 84 
49 66 
51 64 


22 68 

23 51 

24 38 

25 31 

26 31 


50 

51 
52 
53 
54 


61 00 
03 70 
66 70 
70 00 
73 70 


31 72 

33 12 

34 68 
36 40 
38 32 


16 17 

16 88 

17 68 

18 55 

19 53 


55 

56 
57 
58 
59 


103 40 
107 80 
112 50 
117 60 
123 30 


53 77 
56 06 
5S 50 
61 15 
64 12 


27 40 

28 57 

29 81 

31 16 

32 67 


55 
56 
57 
58 
59 


77 90 


40 51 


20 64 


60 


129 50 


67 34 


34 32 


60 









» Premium for a $1,000 Policy on the Five- Year Dividend Plan of the 
New York Life Insurance Company. 



I A Mortuary Dividend of ONE HUNDRED per cent 


. of all premiums paid during the five- 


year- 


period in which death may occur will be paid with the amount of the policy. 


Age. 


Ten-Year Endowment. 


Age. 


Twenty 


-Year Endowm't. 




1 Annual. Semi-Ann' 


Quarterly 




Annual. 


Semi-Ann'l 1 Quarterly. 


25 


§109 10 550 73 


$28 91 


25 


$50 40 


$26 21 


$13 36 


26 


109 30 56 84 


28 96 


26 


50 60 


26 31 


13 41 


27 


109 50 


56 94 


29 02 


27 


50 80 


26 42 


13 46 


28 


109 70 


57 04 


29 07 


28 


51 00 


26 52 


13 52 


29 


109 93 


57 15 


29 12 


29 


51 20 


26 62 


13 57 


30 


110 10 57 25 


29 18 


30 


51 50 


26 78 


13 65 


31 


110 30 


57 36 


29 23 


31 


51 80 


26 94 


13 73 


32 


110 60 


57 51 


29 31 


32 


52 10 


27 09 


13 81 


33 


110 90 


57 67 


29 39 


33 


52 40 


27 25 


13 89 


34 


111 20 


57 82 


29 47 


34 


52 80 


27 46 


13 99 


35 


111 50 


57 98 


29 55 


35 


53 20 


27 66 


14 10 


36 


111 90 


58 19 


29 65 


36 


53 60 


27 87 


14 20 


37 


112 30 


58 40 


29 76 


37 


54 10 


28 13 


14 34 


38 


112 70 


58 60 


29 87 


38 


54 70 


28 44 


14 50 


39 


113 10 


58 81 


29 97 


39 


55 30 


28 76 


14 65 


40 


113 60 


59 07 


30 10 


40 


56 00 


29 12 


14 84 


41 


111 20 


59 38 


30 26 


41 


56 70 


29 48 


15 03 


42 


114 80 


59 70 


30 42 


42 


57 50 


29 90 


15 24 


43 


115 50 


60 06 


30 61 


43 


58 40 


30 37 


15 48 


44 


116 30 


60 48 


30 82 


44 


59 50 


30 94 


15 77 


45 


117 20 


60 94 


31 06 


45 


60 70 


31 56 


16 09 


46 


118 20 


61 46 


31 32 


46 


62 00 


32 24 


16 43 


47 


119 30 


62 04 


31 61 


47 


63 40 


32 97 


16 80 


48 


120 60 


62 71 


31 96 


48 


65 00 


33 80 


17 23 


49 


122 00 


63 44 


32 33 


49 


66 80 


34 74 


17 70 


50 


123 50 


64 22 


32 73 


50 


68 90 


35 83 


18 26 


51 


125 20 


65 10 


33 18 


51 


71 20 


37 02 


18 87 


52 


127 10 


66 09 


33 68 


52 


73 70 


38 32 


19 53 


53 


129 20 


67 18 


34 24 


53 


76 50 


39 78 


20 27 


54 


131 60 


68 43 


34 87 


54 


79 60 


41 39 


21 09 


55 


134 40 


69 89 


35 62 


55 


83 00 


43 16 


22 00 


56 


137 50 


71 50 


36 44 








57 


140 90 


73 27 


37 34 








58 


144 70 


75 24 


38 35 










59 


148 90 


77 43 


39 46 










60 


153 60 


79 87 


40 70 










Age. 


Fifteen- Year Endowm't. 


Age. 


Limited 20-Year End't. 




Annual. 


Semi-Ann'l Quarterly. 


Annual. 


Semi-Ann'l 


Quarterly. 


25 


$69 50 


$36 14 


$18 42 


25 


$32 30 


$16 80 


$ 8 56 


26 


69 70 


36 24 


18 47 


26 


32 50 


16 90 


8 61 


27 


69 90 


36 35 


18 52 


27 


32 80 


17 06 


8 69 


28 


70 10 


36 45 


18 58 


28 


33 00 


17 16 


8 75 


29 


70 30 


36 56 


18 63 


29 


33 40 


17 37 


8 85 


30 


70 50 


36 66 


18 68 


30 


33 70 


17 52 


8 93 


31 
32 


70 80 

71 10 


36 82 
36 97 


18 76 
18 84 


31 
32 


34 00 
34 40 


17 68 
17 89 


9 01 
9 12 


33 


71 40 


37 13 


18 92 


33 


34 80 


18 10 


9 22 


34 


71 70 


37 28 


19 00 


34 


35 20 


18 30 


9 33 


35 


72 00 


37 44 


19 08 


35 


35 70 


18 56 


9 46 


36 


72 40 


37 65 


19 19 


36 


36 30 


18 88 


9 62 


37 


72 90 


37 91 


19 32 


37 


36 90 


19 19 


9 78 


38 
39 


73 40 
73 90 


38 17 
38 43 


19 45 
19 58 


38 
39 


37 60 

38 40 


19 55 
19 97 


9 96 
10 18 


40 


74 40 


38 69 


19 72 


40 


39 20 


20 38 


10 39 


41 


75 00 


39 00 


19 88 


41 


40 20 


20 90 


10 65 


42 


75 70 


39 36 


20 06 


42 


41 30 


21 48 


10 94 


43 


76 50 


39 78 


20 27 


43 


42 40 


22 05 


11 24 


44 


77 40 


40 25 


20 51 


44 


43 70 


22 72 


11 58 


45 


78 40 


40 77 


20 78 


45 


45 10 


23 45 


11 95 


46 


79 50 


41 34 


21 07 


46 


46 80 


24 34 


12 40 


47 


80 70 


41 96 


21 39 


47 


48 60 


25 27 


12 88 


48 
49 


82 10 


42 69 


21 76 


48 


50 50 


26 26 


13 88 


83 70 


43 52 


22 18 


49 


52 70 


27 40 


13 97 


50 


85 50 


44 46 


22 66 


50 


55 10 


28 65 


14 60 


51 


87 40 


45 45 


23 16 


51 


57 90 


30 11 


15 34 


52 


89 50 


46 54 


23 72 


52 


60 80 


31 62 


16 11 


53 

54 


91 90 


47 79 


24 35 


53 


64 10 


33 33 


16 99 


94 60 


49 19 


25 07 


54 


67 90 


35 31 


17 99 


55 


97 70 


50 80 


25 89 


55 


72 00 


37 44 


19 OS 


56 


101 20 


52 62 


26 82 


56 


76 60 


39 83 


20 30 


57 


105 10 


54 65 


27 85 


57 


81 70 


42 4S 


21 65 


58 


109 40 


56 89 


2S 99 


58 


87 30 


45 40 


23 13 


59 


114 20 


59 38 


30 26 


59 


93 60 


48 67 


24 80 


60 


119 40 


62 09 


31 64 


60 


100 40 


52 21 


26 61 



67 



The Guaranteed Minimum Surrender Value of a 
Dividend Policy of $1,000, in the New York Life 
Company. 


Five-year 
Insurance 


Ordinary Life. 


Age at 
Issue. 


At end of 
5th Year. 


At end of 
10th Year. 


At end of 
15th Year. 


At end of 
20th Year. 


• 


25 

26 
27 
28 
29 


$27 03 

28 38 

29 80 

31 29 

32 87 


$ 75 38 
79 09 
83 00 
87 11 
91 43 


$126 23 
132 31 
138 69 
145 37 
152 40 


$187 64 
196 40 
205 51 
215 01 
224 90 


30 
31 
32 
33 
34 


34 55 
36 32 
38 17 
40 12 
42 17 


95 99 
100 75 
105 77 
111 02 
116 56 


159 75 
167 43 
175 44 
183 78 
192 47 


235 13 
245 68 
256 58 
267 78 
279 32 




35 
36 
37 
38 
39 


44 33 
46 61 
49 01 
51 53 
54 20 


122 34 
128 42 
134 77 
141 41 
148 31 


20146 

210 77 
220 39 
230 28 
240 47 


291 13 
303 26 
315 68 
328 33 
341 26 




40 
41 
42 
43 
44 


57 00 
59 94 
63 01 
66 24 
69 58 


155 47 
162 86 
170 50 
178 38 
186 47 


250 92 
261 63 
272 60 
283 81 
295 26 


354 39 
367 73 
381 27 
395 00 
408 86 




45 
46 
47 
48 
49 


73 04 
76 62 
80 28 
84 06 
87 94 


194 78 
203 31 
212 03 
220 97 
230 10 


306 94 
318 83 
330 89 
343 16 
355 58 


422 90 
437 93 
451 22 
465 50 
479 74 




50 
51 
52 
53 

54 


91 92 
96 02 
100 31 
104 70 
109 21 


239 44 
249 02 

258 81 
268 82 
279 01 


368 17 
380 94 
393 85 
406 88 
419 95 


493 98 
508 22 
522 46 
536 74 
551 10 




55 

56 
57 
58 
59 


113 86 
118 71 
123 58 
128 64 
133 84 


289 41 
300 00 
310 77 
321 68 
332 70 


433 08 
446 27 
459 52 

472 90 
486 49 


565 69 
580 71 
596 27 
612 42 
629 13 




60 


139 16 


343 80 


500 42 


646 38 




Life, Ten Payments. 


25 

26 
27 
28 
29 


$102 78 
105 22 
107 77 
110 43 
113 18 


$293 35 
300 29 
307 51 
315 03 
322 83 


$330 95 
339 37 
348 12 
S57 19 
366 60 


$376 35 
386 43 
396 85 
407 60 
418 67 




30 
31 
32 
33 
34 


116 05 
119 04 
122 14 
125 36 

128 70 


330 95 
339 37 
348 12 
357 19 
366 60 


376 35 

386 43 
396 85 
407 60 
418 67 


430 04 
441 70 
453 63 
465 82 
478 26 




35 

36 
37 
38 
39 


132 16 
135 75 
139 47 
143 31 
147 30 


376 35 
386 43 
396 85 
407 60 
418 67 


430 04 
441 70 
453 63 
465 82 
478 26 


490 93 
503 80 
516 87 
530 10 
543 48 




40 
41 
42 
43 
44 


151 41 
155 66 
160 02 
164 51 
169 10 


430 04 
441 70 
453 63 
465 82 
478 26 


490 93 
503 80 
516 87 
530 10 
543 48 


556 09 
570 59 
584 26 
597 97 
611 70 




45 
46 
47 
48 
49 


173 78 
178 50 
183 30 
188 13 
192 99 


490 93 
503 SO 
516 87 
530 10 
543 48 


556 99 
570 59 
584 26 
597 97 
611 70 


625 42 
639 08 
652 65 
666 11 
679 42 




50 
51 
52 
53 
54 


197 88 
202 76 
207 70 
212 61 
217 50 


556 99 
570 59 
584 26 
597 97 
611 70 


625 42 
639 08 
652 65 
666 11 
679 42 


692 54 
705 44 
718 12 
730 56 
742 82 




55 

56 
57 
58 
59 


222 36 
227 16 
231 91 
236 66 
241 16 


625 42 
639 08 
652 65 
666 11 
679 42 


692 54 
705 44 
718 12 
730 56 
742 82 


754 92 
767 89 

778 77 
790 55 
802 22 




60 


245 64 


692 54 


754 92 


813 80 





68 



The Guaranteed Minimum Surrender Value of a 


Five-year 


Dividend Policy of $1,000, in the New York Life 


Insurance 


Company. 






Life, Fifteen Payments. 


Age at 


At end of 


At end of 


At end of 


At end of 




Issue. 


5th Year. 


10th Year. 


15th Year. 


20th Year. 




25 


S 67 90 


$192 99 


S330 95 


$376 35 


26 


69 68 


198 01 


339 37 


386 43 




27 


71 54 


203 15 


348 12 


396 85 




28 


73 47 


20S 58 


357 19 


407 60 




29 


75 47 


214 21 


366 60 


418 67 




30 


77 56 


219 98 


376 35 


430 04 




31 


70 74 


226 -04 


386 43 


441 70 




32 


S2 00 


232 25 


396 85 


453 63 




33 


84 34 


238 77 


407 60 


465 82 




34 


86 77 


245 45 


418 67 


478 26 




35 


89 30 


252 35 


430 04 


490 93 




36 


94 90 


259 50 


441 70 


503 80 




37 


94 62 


266 88 


453 63 


516 87 




38 


97 42 


274 48 


465 82 


530 10 




39 


100 34 


282 31 


478 26 


543 48 




40 


103 36 


290 32 


490 93 


556 99 




41 


106 48 


298 41 


503 80 


570 59 




42 


109 69 


306 65 


516 87 


584 26 




43 


112 99 


315 16 


530 10 


597 97 




44 


116 36 


323 55 


543 48 


611 70 




45 


119 78 


332 18 


556 99 


625 42 




46 


123 25 


340 77 


570 59 


639 08 




47 


126 71 


349 57 


584 26 


652 65 




48 


130 26 


358 17 


597 97 


666 11 




49 


133 80 


S66 95 


611 70 


679 42 




50 


137 36 


375 64 


625 42 


692 54 




51 


140 95 


384 20 


639 08 


705 44 




52 


144 55 


392 94 


652 65 


718 12 




53 


148 17 


401 35 


666 11 


730 56 




54 


151 80 


409 92 


679 42 


742 82 




55 


155 45 


418 15 


692 54 


754 92 




56 


159 12 


426 51 


705 44 


766 89 




57 


162 80 


434 48 


718 12 


778 77 




58 


166 48 


442 36 


730 56 


790 55 




59 


170 16 


450 10 


742 82 


802 22 




60 


173 85 


457 29 


754 92 


813 80 




Life, Twenty Payments. 


25 


$ 51 14 


1 
$144 73 $246 98 


$376 35 




26 


52 61 


148 87 


253 81 


386 43 




27 


54 15 


153 07 


260 84 


396 85 




28 


55 75 


157 55 


268 19 


407 60 




29 


57 41 


162 08 


275 74 


418 67 




30 


59 15 


166 93 


283 63 


430 04 




31 


60 96 


171 83 


291 72 


441 70 




32 


62 85 


176 93 


300 08 


453 63 




33 


64 81 


182 37 


308 77 


465 82 




34 


66 85 


187 89 


317 63 


478 26 




35 


68 97 


193 63 


326 73 


490 93 




36 


71 17 


199 58 


336 04 


503 80 




37 


73 47 


205 60 


345 46 


516 87 




38 


75 86 


211 98 


355 15 


530 10 




39 


78 35 


218 41 


364 92 


543 48 




40 


80 94 


225 17 


374 92 


556 99 




41 


83 64 


231 96 


384 98 


570 59 




42 


86 42 


238 74 


395 05 


584 26 




43 


89 30 


245 82 


405 31 


597 97 




44 


92 26 


252 87 


415 54 


611 70 




45 


95 28 


260 06 


425 83 


625 42 




46 


98 34 


267 36 


436 14 


639 08 




47 


101 47 


274 80 


446 48 


652 65 




48 


104 64 


282 16 


456 70 


666 11 




49 


107 86 


289 45 


466 79 


679 42 




50 


111 14 


297 07 


476 97 


692 54 




51 


114 49 


304 63 


486 98 


705 44 




52 


117 91 


312 11 


496 80 


718 12 




53 


121. 41 


319 75 


506 53 


730 56 




54 


124 99 


S27 53 


516 11 


742 82 




55 


128 65 


335 25 


525 41 


754 92 




56 


132 42 


343 11 


534 51 


766 89 




57 


136 27 


350 ScS 


543 25 


778 77 




58 


140 22 


358 52 


5.-> 1 69 


790 55 




59 


144 29 


366 30 


5C0 10 


802 22 




60 


148 47 


374 25 


568 65 


S13 80 





69 



The Guaranteed Minimum Surrender Value of a Five-year 
Dividend Policy of $1,000, in the New York Life Insurance 
Company. 





Age at 
Issue. 


10-Year 
End't. 


15-Year Endowment 


20-Year Endowment. 


At end of 


At enn of 


At end of 


At end of 


At end. of 


At end of 






5th Year. 


5th Year. 


10th Year. 


5th Year. 


10th Year. 


15th Year. 


25 


$348 36 


$201 49 


$577 38 


$130 83 


$374 01 


$646 08 




26 


348 31 


201 46 


577 22 


130 85 


374 09 


646 05 




27 


34S 27 


201 44 


577 18 


130 89 


374 00 


645 92 




28 


348 22 


201 43 


577 10 


130 94 


374 13 


645 91 




29 


348 17 


201 40 


577 13 


130 99 


374 08 


645 80 




30 


34S 11 


201 39 


576 96 


131 06 


374 26 


645 82 




31 


348 06 


201 38 


576 94 


131 15 


374 27 


645 74 




32 


348 00 


201 37 


576 77 


131 25 


374 34 


645 69 




33 


347 83 


201 36 


576 77 


131 38 


374 65 


645 78 




34 


347 86 


201 36 


576 63 


131 53 


374 84 


645 78 




35 


347 79 


201 37 


576 50 


131 71 


375 11 


645 80 




36 


347 70 


201 3S 


576 40 


131 92 


375 45 


645 83 




37 


347 62 


201 41 


576 32 


132 17 


375 68 


645 77 




38 


347 52 


201 46 


576 27 


132 47 


376 22 


645 84 




39 


347 44 


201 54 


576 24 


132 84 


376 65 


645 81 




40 


347 35 


201 04 


576 23 


133 26 


377 38 


645 92 




41 


347 27 


201 78 


576 07 


133 75 


378 00 


645 92 




42 


347 IS 


201 93 


575 92 


134 30 


37S 49 


645 81 




43 


347 0!> 


20-2 11 


575 94 


134 93 


379 31 


645 84 




44 


346 99 


202 31 


575 63 


135 61 


380 00 


645 75 




45 


346 86 


202 51 


575 49 


136 34 


380 81 


645 69 




46 


346 69 


202 71 


575 17 


137 12 


381 73 


645 63 




47 


346 50 


202 89 


575 03 


137 95 


382 79 


645 60 




48 


346 24 


203 07 


574 53 


138 83 


383 77 


645 47 




49 


345 94 


203 24 


574 22 


139 78 


384 70 


645 26 




50 


345 60 


203 42 


573 74 


140 82 


386 06 


645 24 




51 


345 25 


203 61 


573 11 


141 96 


387 44 


645 16 




52 


344 79 


203 82 


572 69 


143 22 


388 84 


645.04 




53 


344 31 


204 10 


571 95 


144 60 


390 52 


644 99 




54 


343 78 


204 33 


571 45 


146 12 


392 49 


644 99 




55 


343 19 


204 65 


570 64 


147 78 


394 17 


644 89 




56 


342 55 


205 02 


570 07 


149 60 


396 87 


644 81 




57 


341 85 


205 44 


569 21 


151 60 


399 32 


644 61 




58 


341 18 


205 94 


■ 568 41 


153 80 


401 87 


614 33 




59 


340 27 


206 50 


567 66 


156 IS 


404 77 


644 22 




60 


339 39 


207 14 


566 50 


158 78 


408 04 


644 44 




Tt 


venty-Fi 


ve-Year 


Endowr 


aent. 






Age at 


At end of 


At end of 


At end of 


At end of 








Issue. 


5th Year. 


10th Year. 


15th Year. 


20th Year. 




25 


S 90 69 


$258 56 


$445 07 


$685 85 






26 


90 79 


258 76 


445 21 


685 86 








27 


90 92 


259 00 


445 40 


685 88 








28 


91 07 


259 29 


445 64 


685 93 








29 


91 24 


259 63 


445 95 


685 99 








30 


91 45 


260 03 


446 32 


686 08 








31 


91 70 


260 51 


446 76 


686 18 








32 


91 97 


261 06 


447 29 


686 30 








33 


92 30 


261 72 


447 90 


686 43 








34 


92 67 


262 49 


448 62 


686 58 








35 


93 10 


263 38 


449 4 2 


686 75 








36 


9? 58 


264 41 


450 32 


686 93 








37 


94 15 


265 57 


451 30 


687 12 








38 


94 79 


266 90 


452 39 


687 34 








39 


95 54 


268 39 


453 60 


687 58 








40 


96 39 


270 04 


454 90 


6S7 83 








41 


97 35 


271 84 


456 34 


688 12 








42 


98 41 


273 81 


457 91 


68S 42 








43 


99 59 


275 95 


459 60 


688 74 








44 


100 89 


278 26 


461 46 


689 10 








45 


102 29 


280 78 


463 47 


689 52 








46 


103 80 


283 50 


465 68 


689 68 








47 


105 43 


286 46 


468 11 


690 51 








48 


107 IS 


289 66 


470 74 


691 09 








49 


109 06 


293 13 


473 62 


691 70 








50 


111 09 


296 89 


476 77 


692 34 








51 


113 30 


300 98 


480 18 


693 01 








52 


115 69 


305 43 


483 91 


693 71 








53 


118 28 


310 26 


-1S7 96 


694 49 








54 


121 07 


315 46 


492 27 


695 39 








55 


124 07 


321 06 


490 87 

- .. -. ,. . ,u^...,. 


696 51 





70 



The Guaranteed Minimum Surrender Value of a Five-year 
Dividend Policy of $1,000, in the New York Life Insurance 
Company. 



Thirty- Year Endowment. 



Age at 


At end of 


At end of 


At end of 


At end of 


At end of 


Issue. 


5th Year. 


10th Year. 


15th Year. 


20th Year. 


25th Year. 


25 


S 65 SS 


$187 19 


$320 84 


$491 74 


$711 78 


26 


66 10 


187 71 


321 46 


492 28 


711 93 


27 


66 37 


188 30 


322 20 


492 92 


712 12 


28 


66 67 


189 00 


323 06 


493 67 


712 34 


29 


67 01 


189 79 


324 05 


494 53 


712 5S 


30 


67 40 


190 70 


325 20 


495 50 


712 85 


31 


67 86 


191 74 


326 53 


496 58 


713 16 


32 


68 37 


192 94 


328 03 


497 79 


713 49 


33 


68 95 


194 29 


329 74 


499 13 


713 87 


34 


69 61 


195 85 


331 66 


500 62 


714 29 


35 


70 36 


197 61 


333 79 


502 26 


714 76 


36 


71 19 


199 59 


336 14 


504 06 


715 27 


37 


72 15 


201 82 


338 74 


506 05 


715 86 


38 


73 21 


204 29 


341 58 


508 23 


716 49 


39 


74 42 


207 03 


344 69 


510 62 


717 19 


40 


75 76 


210 04 


348 09 


513 23 


717 97 


41 


77 27 


213 34 


351 82 


516 12 


718 87 


42 


78 92 


216 92 


355 85 


519 26 


719 84 


43 


80 73 


220 78 


360 22 


522 67 


720 91 


44 


82 72 


224 97 


364 97 


526 41 


722 08 


45 


84 85 


229 48 


370 09 


530 45 


723 32 


46 


87 12 


234 31 


375 58 


534 79 


724 61 


47 


89 56 


239 49 


381 50 


539 47 


725 96 


48 


92 14 


245 00 


387 79 


544 43 


727 38 


49 


94 91 


250 91 


394 55 


549 72 


728 95 


50 


97 86 


257 22 


401 77 


555 35 


730 79 



Thirty-Five-Year Endowment. 



Age at 


At end of 


At end of 


At end of 


At end of 


At end of 


At end of 


Issue. 


5th Year. 


10th Year. 


15th Year. 


20th Year. 


25th Year. 


30th Year. 


25 


$ 49 96 


$441 36 


$241 08 


$367 10 


$526 71 


$730 54 


26 


50 34 


142 32 


242 42 


368 63 


527 93 


730 93 


27 


50 77 


143 41 


243 95 


370 38 


529 30 


731 37 


28 


51 27 


144 64 


245 70 


372 35 


530 82 


731 86 


29 


51 82 


146 04 


247 69 


374 57 


532 51 


732 41 


30 


52 46 


147 61 


249 93 


377 04 


534 38 


733 03 


31 


53 17 


149 38 


252 46 


379 77 


536 44 


733 70 


32 


53 97 


151 38 


255 28 


382 79 


538 71 


734 46 


33 


54 87 


153 62 


258 44 


386 11 


541 21 


735 30 


34 


55 86 


156 12 


261 92 


389 74 


543 95 


736 22 


35 


56 99 


158 93 


265 78 


393 74 


546 98 


737 28 


36 


58 22 


162 03 


269 97 


398 08 


550 26 


738 41 


37 


59 60 


165 47 


274 57 


402 83 


553 89 


739 70 


38 


61 13 


169 24 


279 56 


407 98 


557 82 


741 09 


39 


62 83 


173 39 


284 97 


413 58 


562 11 


742 62 


40 


64 70 


177 88 


290 82 


419 62 


565 75 


744 25 


41 


66 76 


1S2 73 


297 12 


426 12 


571 75 


745 98 


42 


68 99 


187 93 


303 86 


433 07 


577 11 


747 80 


43 


71 41 


193 50 


311 05 


440 50 


582 80 


749 72 


44 


74 00 


199 43 


318 70 


448 39 


588 82 


751 80 


45 


76 76 


205 71 


326 82 


456 76 


595 17 


754 12 



71 



The Guaranteed Minimum Surrender Value of a Five-year 
Dividend Policy of $1,000, in the New York Life Insurance 
Company. 



Age at 


15- Year Endowment 
10 Payments. 


I Age at 
] Is.-ue. 


20-Year Endowment, 
10 Payments. 


Issue. 


At end of 
5th Year. 


At end of 
10th Year. 


At end of 
5th Year. 


At end of 
10th Year. 


At end of 
15th Year. 


25 
26 
27 
28 
29 


$280 89 

280 N ( .) 

280 89 
280 89 
280 89 


§805 86 
805 91 

805 97 

806 04 
806 11 


25 
26 
27 
28 
29 


8229 30 

229 38 
229 47 
229 5S 
229 69 


$657 40 
657 65 

657 93 

658 24 
658 57 


$806 20 
806 29 
806 39 
806 50 
806 63 


30 
31 
32 
33 
34 


280 90 
280 91 
280 92 
280 94 
280 96 


806 20 
806 29 
806 39 
806 50 
806 63 


30 
31 
32 
33 
34 


229 82 

229 9S 

230 15 
230 34 
230 57 


658 95 

659 37 

659 85 

660 38 
660 99 


806 77 

806 94 

807 13 
807 34 
807 60 


35 

36 
37 
38 
39 


280 99 

281 01 
2S1 06 
281 12 
281 20 


806 77 

806 94 

807 13 
807 34 
807 60 


35 
33 
37 
38 
39 


230 82 

231 11 
231 44 

231 82 

232 27 


661 68 

662 47 

663 35 

664 35 

665 48 


807 87 

808 19 
808 53 
808 92 
S09 35 


40 
41 
42 
43 
44 


281 30 
281 44 
281 60 
281 78 
281 99 


807 87 

808 19 
808 53 

808 92 

809 35 


40 

41 
42 
43 
44 


232 78 

233 37 

234 03 

234 76 

235 58 


666 72 

668 11 

669 65 
671 34 
673 21 


S09 S3 
810 35 

810 94 

811 58 

812 28 


45 
46 
47 
48 
49 


282 20 
282 42 
282 64 

282 85 

283 06 


809 83 

810 35 
S10 94 

811 58 

812 28 


45 
46 
47 
48 
49 


236 46 

237 40 

238 40 

239 49 

240 62 


675 26 
677 51 
679 98 
682 68 
685 62 


813 07 
S13 92 

814 86 

815 90 
817 03 


50 
51 
52 
53 
54 


283 28 
283 51 

283 75 

284 00 
2S4 29 


813 07 

813 92 

814 86 

815 90 
817 03 


50 

51 
52 
53 
54 


241 86 

243 18 

244 59 

246 10 

247 72 


688 83 
692 32 
696 10 
700 19 
704 60 


818 28 

819 63 

821 11 

822 72 
S24 46 


55 
56 
57 
58 
59 


284 58 

284 90 

285 24 

285 69 

286 01 


818 28 

819 63 

821 11 

822 72 
824 46 


55 

56 
57 
58 
59 


249 44 
251 26 
253 17 
255 24 
257 21 


709 34 
714 39 
719 75 
725 40 
731 34 


826 33 
S2S 30 
830 38 
832 57 
834 88 


60 


286 44 


826 33 


60 


259 37 


737 54 


837 35 



25- Year Endowment, 10 Payments. 



Age at 


At end of 


At end of 


At end of 


At end of 




Issue. 


5th Year. 


10th Year. 


15th Year. 


20th Year. 




25 


$190 10 


$544 61 


$65S 95 


806 77 


25 


190 31 


545 21 


659 37 


806 94 




27 


190 56 


-545 88 


659 85 


807 13 




28 


190 S3 


546 62 


660 ?8 


807 34 




29 


191 13 


547 45 


660 99 


807 60 




30 


191 47 


548 38 


661 68 


807 87 




31 


191 ,S6 


549 43 


662 47 


808 19 




32 


192 30 


550 60 


663 35 


808 53 




33 


192 79 


551 93 


664 35 


SOS 92 




34 


193 S5 


553 42 


665 48 


809 35 




35 


193 97 


555 09 


666 72 


809 83 




36 


191 66 


556 97 


668 H 


810 35 




3? 


195 45 


559 U6 


669 65 


810 94 




38 


196 32 


561 40 


671 34 


811 58 




39 


197 33 


563 99 


673 21 


812 28 




40 


198 44 


566 85 


675 26 


813 07 




41 


199 70 


570 00 


677 51 


813 92 




42 


201 07 


573 45 


679 98 


814 86 




43 


202 59 


577 23 


682 68 


815 90 




44 


204 26 


581 35 


685 62 


817 03 




45 


206 05 


5S5 S3 


688 83 


818 28 




46 


207 97 


590 70 


692 32 


819 63 




47 


210 03 


595 98 


696 10 


821 11 




48 


212 22 


601 67 


700 19 


822 72 




49 


214 55 


607 79 


704 60 


824 46 




50 


217 02 


614 36 


709 34 


826 33 




51 


219 64 


621 36 


714 39 


S2S 30 




52 


222 37 


62S 81 


719 75 


830 38 




53 


225 2s 


636 67 


725 40 


832 57 




54 


228 33 


644 96 


731 34 


831 88 




55 


231 47 


653 64 


637 54 


837 35 


J 



72 



The Guaranteed Minimum Surrender Value of a Five-year 
Dividend Policy of $1,000, in the New York Life Insurance 
Company. 



Thirty- Year Endowment, Ten Payments. 



Age at 
Issue. 



At end of At end of 
5th Year. ! 10th Year. 



$160 67 
161 08 

161 55 

162 07 

162 65 

163 30 
161 03 

164 81 

165 75 

166 77 

167 89 

169 13 

170 52 

172 05 

173 75 

175 63 
177 69 
179 93 
182 38 
185 01 

187 82 
190 94 
193 96 
197 26 
200 72 

204 33 



$459 91 

461 06 

462 35 

463 78 
465 37 

467 16 
469 14 
471 36 
473 81 
476 60 

479 67 
483 07 
486 83 
490 97 
495 51 

500 48 
505 88 
511 71 
518 07 
521 90 

532 22 
540 05 
548 37 
557 19 
566 50 

576 28 



At end of 
15th Year. 



$548 38 

549 43 

550 60 

551 93 
553 42 

555 09 

556 97 
559 06 
561 40 
563 99 

566 85 
570 00 
573 45 
577 23 
581 35 

585 83 

590 70 

595 98 

601 67 

607 79 

614 36 
621 36 
628 81 
636 67 
644 96 

653 64 



At end of 
20th Year. 



$661 68 

662 47 

663 35 

664 35 

665 48 

666 72 
66S 11 
669 65 
671 34 
673 21 

675 26 
677 51 
679 98 
682 68 
685 62 



692 32 
696 10 
700 19 
704 60 

709 34 
714 39 
719 75 
725 40 
731 34 

737 54 



At end of 
25th Year. 



$807 87 
808 19 
808 53 

808 92 

809 35 

809 83 

810 35 

810 94 

811 58 

812 28 

813 07 

813 92 

814 86 

815 90 

817 03 

818 28 

819 63 

821 11 

822 72 
824 46- 

826 33 
828 30 
830 38 
832 57 
834 88 

837 35 



Thirty-Five- Year Endowment, Ten Payments. 



Age at 


At end of 


At end of 


At end of 


At end of 


At end of 


At end of 


Issue. 


5th Year. 


10th Year. 


15th Year. 


20th Year. 


25th Year. 


30th Year. 


25 


$139 04 


$397 69 


$467 16 


$555 09 


$666 72 


$809 83 


26 


139 73 


399 62 


469 14 


556 97 


668 11 


810 35 


27 


140 50 


401 76 


471 36 


559 06 


669 65 


810 94 


28 


141 36 


404 13 


473 84 


561 40 


671 34 


811 58 


29 


142 31 


406 76 


476 60 


563 99 


673 21 


812 28 


30 


143 36 


409 63 


479 67 


566 85 


675 26 


813 07 


31 


144 54 


412 91 


483 07 


570 00 


677 51 


813 92 


32 


145 83 


416 48 


486 83 


573 45 


679 98 


814 86 


33 


147 26 


420 42 


490 97 


577 23 


682 68 


815 90 


34 


148 83 


424 77 


495 51 


581 35 


685 62 


817 03 


35 


150 56 


429 54 


500 48 


585 83 


688 83 


818 28 


35 


152 45 


434 78 


505 88 


590 70 


692 32 


819 63 


37 


154 53 


440 49 


511 74 


595 98 


696 10 


821 11 


33 


156 79 


446 70 


518 07 


601 67 


700 19 


822 72 


39 


159 27 


453 44 


524 90 


607 79 


704 60 


824 46 


40 


161 95 


460 69 


532 22 


614 36 


709 34 


826 33 


41 


164 86 


468 47 


540 05 


621 36 


714 39 


S2S 30 


42 


167 95 


476 77 


548 37 


628 81 


719 75 


830 38 


43 


171 27 


485 60 


557 19 


636 67 


725 40 


832 57 


44 


171 80 


494 95 


566 50 


644 96 


731 34 


S34 88 


45 


178 48 


504 82 


576 28 


653 64 


737 54 


837 35 



73 



ORDINARY LIFE POLICIES 



j Cash Surrender Values per §1,000, 


iccordin 


g to Sec 


4, Chap 


.232 


of the Mass. Laws of 1880. 


1 dO 

S ^3 


No. of Years Completed and Wholly Paid fob in Cash. 

i 


1 '">£ 

1 ^ t " H 


2 


3 


4 


5 


6 | 7 


8 


9 


10 


11 


12 


13 


1 25 


SO 53 


$8 55 


$16 84 


$25 38 


$34 21 $43 34 


$52 75 


$62 47 


$72 50 


$82 87 


$93 56 


104 63 


1 26 


95 


9 30 


17 92 


26 82 


36 01 


45 50 


55 29 


65 39 


75 84 


86 62 


97 78 


109 28 


S 27 


1 41 


10 09 


19 06 


28 33 


37 8S 


47 75 


57 95 


68 47 


79 34 


90 58 


102 19 


114 19 


\ 2: 


1 86 


10 92 


20 26 


29 89 


39 84 


50 12 


60 74 


71 69 


83 03 


94 73 


106 82 


119 34 


1 29 


2 36 


11 78 


21 50 


31 53 


41 91 


52 61 


63 66 


75 09 


86 90 


99 10 


111 71 


124 76 


30 


2 87 


12 68 


22 81 


33 27 


44 07 


55 22 


66 75 


78 67 


90 98 j 103 71 


116 87 


130 47 


31 


3 40 


13 62 


24 19 


35 09 


46 34 


57 99 


70 01 


82 44 


95 29 j 108 58 


122 29 


136 43 


32 


3 96 


14 63 


25 64 


37 01 


48 76 


60 90 


73 45 


86 43 


99 85 113 70 


127 97 


142 61 
148 99 


33 


4 57 


15 69! 27 18 


39 06 


51 32 


63 99 


77 10 


90 66 


104 65 


119 07 


133 86 


34 


5 21 


16 81 28 82 


41 21 


54 03 


07 28 


80 97 


95 12 


109 69 


124 63 


139 93 


155 53 


35 


5 88 


18 02 30 56 


43 52 


56 91 


70 75 


85 06 


99 79 


114 90 


130 37 


146 14 


162 21 


35 


6 62 


19 29 32 40 


45 95 


59 96 


74 43 


89 34 


104 62 


120 27 


136 23 


152 48 


169 01 


37 


7 40 


20 66 34 37 


48 55 


63 2L 


78 2S 


93 76 


109 60 


125 74 


142 19 


158 93 


175 96 


33 


8 21 


22 10 


36 47 


51 30 


66 57 


S2 24 


98 27 


114 63 


131 30 


148 24 


165 48 


183 00 


» 49 
Si 


9 10 


23 65 


38 68 


54 16 


70 03 


86 29 


102 85 


119 73 


136 92 


154 39 


172 15 


190 14 8 


10 04 


25 28 


40 97 


57 07 


73 55 


90 36 


107 47 


124 89 


142 61 


160 60 


178 86 


197 35 


11 03 


26 95 


43 28 


60 00 


77 05 


94 42 


112 09 


130 07 


148 33 


166 85 


1S5 61 


204 61 


i 1 !I 


12 02 


28 59 


45 57 


62 88 


SO 52 


98 46 


116 72 


135 26 


154 06 


173 11 


192 40 


211 90 


| 43 

: 44 


12 95 


30 20 


47 79 


65 71 


83 93 


102 49 


121 33 


140 43 


159 80 


179 38 


199 20 


219 23 


13 81 


31 73 


49 95 


68 48 


87 35 


106 51 


125 94 


145 62 


165 55 


185 70 


206 06 


226 60 


' 45 


14 09 


33 23 


52 09 


71 29 


90 7S 


110 55 


130 59 


150 86 


171 37 


192 09 


212 99 234 07 


: i 43 


15 50 


34 71 


54 26 


74 11 


94 25 


114 65 


135 29 


156 19 


177 28 


198 56 


220 02 241 65 


!i 47 


16 33 


36 26 


56 48 


77 00 


97 79 


118 83 


140 11 


161 61 


183 29 


205 18 


227 22 j 249 39 


43 


17 20 


37 82 


58 75 


79 95 


101 41 


123 11 


145 03 


167 15 


189 46 


211 94 


234 55 1 257 21 


49 


18 09 


39 44 


61 08 


82 97 


105 12 


127 49 


150 06 


172 84 


195 77 


218 S4 


241 98 265 14 


i 59 


18 98 


41 08 


63 44 


86 re 


108 91 


131 97 


155 22 


178 65 


202 21 


225 84 


249 50 


273 13 


1 51 


19 90 


42 75 


65 87 


89 22 


112 79 


136 55 


160 50 


184 59 


208 74 


232 92 


257 07 


281 17 


52 


20 82 


44 48 


68 36 


92 46 


116 78 


141 27 


165 91 


190 61 


215 34 


240 06 


264 71 


289 22 


; 53 


21 79 


46 25 


70 93 


95 82 


120 S8 


146 11 


171 39 


196 72 


222 01 


247 25 


272 36 297 31 


54 


22 80 


48 07 


73 58 


99 27 


125 11 


151 02 


176 97 


202 88 


228 73 


254 46 


280 04 305 37 


55 


23 81 


49 96 


76 31 


102 81 


129 38 


155 99 


182 57 


209 08 


235 46 


261 69 


287 67 313 37 
295 24 321 32 


55 

. 57 


24 88 


51 93! 79 12 


106 39 


133 71 


160 98 


188 19 


215 27 


242 19 


268 86 


26 00 


53 94! 81 97 


110 03 


138 05 


166 00 


193 82 


221 48 


248 87 


275 97 


302 77 


329 22 


; 58 

! 53 
f 
69 


27 13 


55 95: 84 81 


113 62 


142 37 


170 98 


199 41 


227 58 


255 46 


283 01 


310 22 


337 03 


28 25 


57 94 87 60 


117 20 


146 65 


175 91 


204 91 


233 61 


261 97 


289 96 


317 57 


344 74 


29 31 


59 88; 90 36 


120 71 


150 87 


ISO 74 


210 31 


239 52 


268 39 


296 83 


324 82 


352 34 




No. of Years Completed axd Wholly Paid for est Cash. 


14 


15 


16 


17 | 18 | 19 j 20 


25 ! 30 


35 


40 


25 


$116 06 


$127 87 


$140 08 


S152 71 $165 76 $179 19 $192 96 


$266 18 $345 26 


$428 47 


$512 96 


25 


121 19 


133 50 


146 22 


159 37 


172 90 


186 78 


201 00 


276 08 S56 73 


441 14 


526 07 


27 


126 59 


139 42 


152 67 


166 31 


ISO 30 


194 62 


209 23 


286 18 ! 368 38 


453 90 


539 09 


23 


132 27 


145 63 


159 38 


173 50 


187 94 


202 67 


217 66 


296 45 i 380 19 


466 71 


552 04 


29 


138 23 


152 11 


166 35 


180 91 


195 76 


210 90 


226 30 


306 91 392 17 


479 54 


564 88 


39 


144 46 


158 83 


173 53 


188 52 


203 79 


219 32 


235 13 


317 56 404 29 


492 36 


577 62 


31 


150 92 


165 76 


ISO 89 


196 31 


211 98 


227 95 


244 15 


328 36 


416 49 


505 17 


590 23 


32 

: 33 
I 34 


157 60 


172 87 


188 43 


204 28 


220 39 


236 75 


253 31 


3S9 33 


428 79 


517 90 


602 68 


164 43 


180 16 


196 15 


212 43 


228 96 


215 72 


262 71 


350 47 


441 13 


530 56 


614 99 


171 42 


187 59 


204 04 


220 75 


237 69 


254 86 


272 21 


361 76 


453 50 


543 11 


627 12 


35 


178 55 


195 19 


212 08 


229 22 


246 58 


264 15 


281 92 


373 18 


465 86 


555 56 


639 07 


35 


185 85 


202 94 


220 27 


237 83 


255 60 


273 58 


291 74 


384 67 


47S 18 567 88 


650 81 


37 


193 26 


210 80 


228 57 


246 56 


264 77 


283 15 


301 69 


396 24 


490 44 


580 04 


662 38 


38 


200 77 


218 77 


236 99 


255 42 


274 04 


292 81 


311 76 


407 82 


502 58 


592 04 


673 72 


39 


208 39 


226 84 


245 52 


264 38 


283 41 


302 61 


321 94 


419 41 


514 62 


603 86 


684 82 


40 


216 07 


235 00 


254 13 


273 42 


292 89 


312 50 


332 21 


430 96 


526 53 


615 49 


695 70 


41 


223 82 


243 22 


262 80 


282 55 


302 45 


322 45 342 53 


442 43 


538 28 


627 31 


706 38 


42 


231 61 


251 49 


271 54 


291 74 


312 06 


332 43 


352 84 


453 79 


549 85 


638 10 


716 92 


43 


239 42 


259 80 


280 32 


300 97 


321 68 


342 41 


363 12 


465 03 


561 25 


649 08 


727 39 


44 


247 32 


268 19 


289 19 


310 24 


331 32 


352 38 


373 38 


476 14 


572 46 


659 83 


737 89 


45 


255 31 


276 68 


298 10 


319 55 


340 98 


362 35 


383 62 


487 14 


583 50 


670 39 


748 52 


46 


263 41 


285 23 


307 07 


328 89 


350 66 


372 32 


393 85 


498 04 


594 38 


680 80 


759 34 


47 


271 62 


293 88 


316 12 


338 30 


360 37 


382 31 


404 04 


508 85 


605 14 


691 13 


770 37 


48 


279 92 


302 59 


325 21 


347 72 


370 10 


392 26 


414 19 


519 55 


615 74 


701 49 


781 65 


49 


288 29 


311 38 


334 34 


357 18 


379 80 


402 17 


424 30 


530 15 


626 17 


711 95 


793 13 


59 


296 70 


320 16 


343 49 


366 58 


3S9 44 


412 03 


434 34 


540 62 


636 45 


722 63 


804 69 


51 


305 14 


328 97 


352 59 


375 95 


399 94 


421 85 


444 33 


550 98 


646 63 


733 58 


816 31 


52 


313 61 


337 75 


361 66 


385 28 


408 60 


431 59 


454 22 


561 23 


656 78 


744 83 


827 86 


53 


322 04 


346 51 


370 69 


394 57 


418 10 


441 27 


464 04 


571 33 


666 99 


756 42 


839 05 


54 


330 44 


355 21 


379 67 


403 79 


427 53 


450 86 


473 77 


581 31 


677 39 


768 30 


849 53 


55 


338 77 


363 87 


388 59 


412 94 


436 87 


460 36 


483 39 


591 16 


688 07 


780 35 


859 03 


56 


347 07 


372 45 


397 44 


422 00 


446 10 


469 75 


492 95 


600 93 


699 13 


792 55 


866 49 


57 


355 29 


380 96 


406 20 


430 97 


455 25 


479 04 


502 32 


610 70 


710 58 


804 76 


872 34 


58 


363 43 


389 37 


414 84 


439 82 


464 27 


488 23 


511 61 


620 60 


722 49 


816 62 


882 49 


( 59 


371 44 


397 67 


423 37 


448 55 


473 20 


497 28 


520 75 


630 72 


734 80 


827 77 


906 81 1 


J 60 


379 35 


405 85 


431 79 


457 19 


482 00 


506 19 


529 80 


641 26 


747 44 


837 87 


1 



74 



'•~ 






ORDINARY 


LIFE POLICIES. 








Faid up Values per $1,000, accordin 


g to Sec. 2, Chap. 232, of the Mass. Laws of 1880. 


fl 


Number of Years Completed and "Wholly Paid for in Cash. 


2 ! 3 


4 


5 


6 


7 8 


9 


10 


11 


12 | 13 


25 


51 84 |29 10 


156 15 


$82 90 


$109 43 


$135 74 $161 73 


$187 45 


$212 86 


$23S 02 


262 82 287 36 


26 


3 23 j 31 01 


58 53 


S3 79 


112 78 


139 50 165 90 


191 99 


217 S3 


243 32 


268 57 


293 44 


27 


I 4 70, 3-2 96 


60 97 


SS 73 


116 14 


143 28 170 14 


190 66 


222 87 


248 80 


274 40 


299 68 


28 


j 6 08 34 93 


63 45 


91 64 


119 54 


147 15 


174 46 


201 38 


228 03 


254 37 


280 34 


306 04 


29 


7 55 36 89 


65 92 


94 61 


123 05 


151 11 


178 83 


206 25 


233 34 


260 08 


286 47 


312 54 


30 


8 99 38 SS 


68 44 


97 68 


120 58 


155 12 


183 34 


211 24 


238 77 


265 95 


292 77 


319 22 


31 


10 121 40 87 


71 02 


100 79 


130 17 


159 28 


187 99 


216 36 


244 36 


272 00 


299 21 


325 99 


32 


11 88 


42 95 


73 64 


103 96 


133 93 


103 53 j 192 70 


221 64 


250 13 


278 19 


305 77 


332 75 


33 


13 42 


45 06 


76 35 


107 29 


137 80 


167 94 • 197 72 


227 11 


256 05 


284 51 


312 34 


339 49 


34 


14 96 


47 22 


79 16 


110 66 


141 80 


172 .38 202 84 


232 73 


262 OS 


290 80 


318 84 


346 13 


35 


16 52 


49 50 


82 06 


114 21 


145 94 


177 24 ■ 20S 12 


238 44 


268 10 


297 06 


325 23 


352 61 


35 


18 18 


51 SO 


85 03 


117 S3 


150 21 


1S2 11 ; 218 47 


244 11 


274 05 


303 18 


331 46 


358 93 


37 


19 S7 


54 22 


SS 14 


121 62 


154 66 


1S7 04 ' 218 77 


249 73 


279 S3 


309 09 


337 52 


365 13 


33 


21 55 


56 07 


91 36 


125 52 


159 06 


191 89 228 92 


255 11 


2«5 42 


314 82 


343 39 


371 12 


39 


23 34 


59 25 


94 64 


129 41 


163 40 


196 62 ! 228 89 


260 27 


290 78 


320 37 


349 12 


376 91 


40 


25 15 


61 85 


97 89 


133 16 


167 59 


201 10 233 62 


265 23 


295 93 


325 70 


354 55 


382 50 


41 


20 99 61 37 


100 99 


136 72 


171 47 


205 25 23S 05 


209 91 


300 81 


330 75 


359 75 


387 84 


42 


28 72 


66 71 


103 84 


139 94 


175 03 


209 10 242 21 


274 31 


305 39 


335 52 


364 69 


392 90 


43 


30 22 


68 81 


106 36 


142 84 


178 24 


212 OS 240 (0 


278 37 


309 72 


340 01 


369 36 


397 77 


44 


31 51 


70 62 


108 58 


145 43 


181 26 


216 00 


249 65 


282 24 


313 80 


344 32 


373 88 


402 42 


45 


32 69 


72 24 


110 62 


147 93 


184 10 


219 14 


253 11 


285 96 


317 75 


348 53 


378 25 


406 98 I 


46 


33 69 


73 71 


112 59 


150 30 


186 83 


222 21 


250 44 


289 61 


321 66 


352 62 


382 55 


411 48 1 


47 


34 68 


75 24 


114 54 


152 64 


189 54 


225 24 


259 79 


293 23 


325 50 


356 75 


386 91 


410 03 


48 


35 69 


76 70 


116 46 


154 96 


192 22 


228 27 


263 14 


296 84 


329 41 


380 89 


391 28 


420 54 


49 


36 69 


78 18 


118 39 


157 27 


194 91 


231 32 


266 49 


300 52 


333 36 


365 07 


395 64 


425 02 


50 


37 62 


79 62 


120 25 


159 57 


197 61 


234 37 


269 88 


304 21 


337 33 


369 25 


399 95 


429 44 


51 


38 57 


81 03 


122 14 


161 88 


200 30 


237 42 


273 30 


307 93 


341 29 


373 37 


404 19 


433 82 


52 


39 46 


82 47 


124 03 


104 20 


203 05 


240 55 


276 77 


311 65 


345 19 


377 45 


408 42 


438 11 


53 


40 40 


83 92 


125 90 


166 60 


205 83 


243 74 


280 22 


315 34 


349 07 


381 48 


412 57 


442 34 


54 


41 37 


S5 37 


127 93 


169 04 


2C8 71 


246 92 


283 68 


318 99 


352 91 


385 46 


410 04 


446 48 


55 


42 28 


86 87 


129 94 


171 51 


211 54 


250 05 


287 05 


322 59 


356 67 


389 34 


420 60 


450 47 


55 


43 26 


88 43 


131 99 


173 95 


214 34 


253 11 


290 36 


326 09 


360 33 


393 10 


424 41 


454 35 


57 


44 27 


89 98 


134 02 


176 38 


217 06 


256 12 


293 60 


329 52 


363 87 


396 71 


428 12 


458 18 


58 


45 26 


91 48 


135 95 178 64 


219 66 


259 00 


296 68 


332 74 


367 22 


400 18 


431 73 


461 83 


59 


46 19 


92 88 


137 73 


180 S3 


222 15 


261 72 


299 60 


335 81 


370 43 


403 54 


435 17 


465 40 


60 


46 98 


94 15 


139 42 


182 85 


224 46 


264 26 


302 32 


338 68 


373 52 


406 75 


438 51 


468 82 


-," 


Number of Years Completed and "Wholly Paid for in Cash. 


II 


14 | 15 


16 


17 


18 


19 


20 


25 


30 


35 


40 a 


25 


$311 64 j$335 58 


$359 22 


$382 54 


$405 56 


.$428 16 


$450 23 


$552 35 


$640 18 


$714 77 


$777 03 I 


26 


318 05 ! 342 35 


366 30 


389 93 


413 13 


435 81 


458 00 


559 89 


647 25 


721 20 


782 69 


27 


324 63 349 26 


373 54 


397 38 


420 69 


443 46 


465 64 


567 29 


654 21 


727 00 


788 20 


28 


331 35 356 31 


380 82 


404 83 


428 24 


451 04 


473 15 


574 58 


661 04 


733 81 


793 56 


29 


338 21 


363 45 


388 14 


412 22 


435 66 


458 45 


480 59 


581 75 


667 79 


739 88 


798 74 


30 


345 17 


370 60 


395 41 


419 55 


446 00 


465 77 


487 92 


588 82 


674 44 


745 83 


803 87 


31 


352 14 


377 70 


402 57 


426 74 


450 18 


473 02 


495 14 


595 78 


680 96 


751 59 


808 79 


32 


359 11 


384 72 


409 61 


433 83 


457 33 


480 13 


502 20 


602 62 


687 35 


757 22 


813 62 


33 


365 94 


391 63 


416 56 


440 81 


464 33 


487 09 


509 18 


609 36 


693 59 


762 68 


818 31 


34 


372 63 


398 38 


423 40 


447 68 


471 17 


493 97 


516 03 


616 00 


699 71 


707 96 


822 84 


35 


379 19 


405 04 


430 10 


454 38 


477 92 


500 70 


522 74 


622 54 


705 68 


773 17 


827 28 


36 


385 66 


411 56 


436 64 


460 96 


484 49 


507 27 


529 33 


628 94 


711 44 


778 17 


831 54 


37 


391 93 


417 87 


443 01 


467 35 


490 94 


513 75 


535 77 


635 17 


717 07 


783 05 


835 79 


38 


397 99 


424 02 


449 21 


473 60 


497 22 


520 00 


542 06 


641 22 


722 46 


787 77 


839 86 


39 


403 90 


429 98 


455 24 


479 69 


503 31 


526 15 


548 20 


647 11 


727 67 


792 32 


843 77 


40 


409 56 


435 74 


461 09 


485 57 


509 25 


532 13 


554 19 


652 82 


732 77 


796 75 


847 64 


41 


415 01 


441 30 


466 71 


491 27 


515 01 


537 91 


560 04 


658 25 


737 61 


801 51 


S51 40 


42 


420 23 


446 62 


472 13 


496 77 


520 58 


543 52 


565 60 


663 49 


742 30 


805 15 


855 14 | 


43 


425 19 


451 71 


477 33 


502 08 


525 95 


548 88 


570 93 


668 48 


746 80 


809 14 


858 90 | 


44 


430 02 


456 67 


482 43 


507 24 


531 11 


554 05 


576 09 


673 26 


751 12 


812 98 


862 67 | 


45 


434 "74 


461 56 


487 39 


512 24 


536 12 


559 07 


581 11 


677 95 


755 34 


816 80 


866 64 j 


46 


439 42 


466 35 


492 23 


517 12 


541 03 


563 99 


585 97 


682 46 


759 44 


820 57- 


870 81 1 


47 


444 10 


471 09 


497 04 


521 96 


545 89 


568 80 


590 75 


686 95 


763 57 


824 38 




'■ 48 


448 71 


475 76 


501 77 


526 73 


550 63 


573 52 


595 40 


691 31 


767 58 


828 32 


879 83 


| 49 


453 28 


480 43 


506 46 


531 41 


555 31 


578 12 


599 96 


695 61 


771 50 


832 34 


884 74 


50 


457 78 


484 98 


511 04 


535 98 


559 82 


582 61 


604 47 


699 83 


775 45 


836 66 


8S9 75 


51 


462 23 


489 44 


515 52 


540 43 


564 24 


587 09 


008 87 


703 99 


779 38 


841 27 


S94 92 


52 


466 59 


493 82 


519 89 


541 79 


568 05 


591 41 


013 20 


708 16 


783 41 


846 20 


900 21 


53 


470 85 


498 11 


524 16 


549 12 


572 92 


595 71 


017 45 


712 22 


787 58 


851 43 


905 42 


54 


475 01 


502 27 


528 39 


553 31 


577 17 


599 91 


021 63 


716 23 


791 94 


S57 04 


910 36 


55 


479 02 


506 40 


532 48 


557 47 


581 30 


604 04 


625 75 


720 27 


796 65 


862 83 


914 78 jj 


5S 


483 02 


510 37 


536 54 


561 51 


585 33 


608 09 


029 84 


724 30 


801 76 


868 87 


918 13 3 


57 
58 

69 


486 85 


514 30 


540 47 


565 48 


589 32 


612 07 


038 £3 


728 44 


S07 29 


875 10 


920 75 d 


490 63 


518 10 


544 31 


569 35 


593 20 


616 05 


037 77 


78.2 80 


813 23 


S81 21 


920 70 1 


494 24 


521 78 


548 05 


573 11 


597 08 


619 91 


011 02 


787 3 1 


819 67 


8S7 04 


943 OS 1 


[_60 


497 75 


525 37 


551 70 


570 88 


600 86 623 68 


645 51 


742 13 


826 It 


892 25 


1000 00 1 



7b 



^MUTUAL BENEFIT 



Paid-up Non-participating Insurance, per $1,000 Policy, 
at the end of the following" years. 





Age 














at Issue of 
Original 


3d. 


5th. 


7th. 


10th- 


15th. 


20th. 


Policy. 














25 


S 62 


S103 


S1J4 


$206 


$311 


1414 


26 


63 


105 


147 


212 


319 


423 


27 


65 


108 


151 


217 


326 


432 


28 


67 


111 


156 


223 


334 


441 


29 


68 


114 


160 


229 


342 


450 


30 


70 


117 


164 


235 


350 


459 


31 


72 


120 


169 


241 


358 


468 


32 


74 


121 


173 


247 


366 


477 


33 


76 


127 


178 


253 


374 


485 


31 


78 


131 


183 


259 


382 


494 


35 


81 


134 


187 


266 


390 


502 


36 


83 


138 


192 


272 


398 


511 


37 


85 


142 


197 


278 


406 


519 


38 


88 


145 


202 


285 


413 


527 


39 


90 


149 


207 


291 


421 


535 


40 


92 


153 


212 


298 


429 


543 


41 


95 


157 


217 


304 


436 


550 


42 


97 


161 


2 9 2 


310 


443 


558 


43 


100 


165 


227 


317 


451 


565 


44 


103 


169 


232 


323 


458 


572 


45 


105 


173 


237 


329 


464 


579 


46 


108 


176 


242 


335 


471 


585 


47 


110 


180 


247 


340 


478 


591 


48 


113 


184 


251 


346 


484 


598 


49 


115 


187 


256 


351 


490 


603 


50 


117 


191 


260 


357 


496 


609 


51 


120 


194 


264 


362 


502 


615 


52 


122 


197 


269 


367 


508 


620 


53 


124 


201 


273 


372 


513 


625 


54 


126 


204 


277 


377 


518 


630 


55 


128 


208 


281 


382 


524 


635 


56 


131 


211 


285 


387 


528 


640 


57 


133 


214 


289 


391 


533 


646 


58 


135 


217 


293 


396 


538 


651 


59 


137 


220 


297 


400 


542 


657 


60 


139 


223 


301 


404 


547 


66.! 



*Aft*r two annual premiums have been paid, this Company issues paid-up values if 
application is made for the same within three months after the premium falls due. If the 
policy holder does not apply for a paid-up-policy, the Company extends the insurance for the 
face of the policy for as many years and days as the reserve will pay for. 



Paid-up Non-participating Insurance. 




* Mutual Life, Per $1,000 Policy. 


LIFE PLAN. 


Age at 


At the Exd of the Following Years. 


Issue of 
Original 














Policy. 


3rd Year. 


5th Year. 


7th Year. 


10th Year. 


15th Year. 


20th Year. 


25 


$ 56 


8 93 


8132 


8190 


$287 


8384 


26 


57 


96 


136 


195 


294 


393 


27 


59 


99 


139 


200 


302 


402 


28 


61 


102 


144 


206 


309 


411 | 


29 


63 


105 


148 


211 


317 


420 


30 


65 


108 


152 


217 


325 


430 


31 


67 


111 


156 


223 


333 


439 


32 


69 


115 


160 


229 


341 


448 


33 


71 


118 


165 


235 


349 


458 


34 


73 


121 


170 


241 


358 


467 


35 


75 


125 


174 


248 


366 


476 


36 


77 


128 


179 


254 


374 


485 


37 


79 


132 


184 


260 


383 


494 


38 


82 


135 


189 


267 


391 


503 


39 


84 


139 


194 


274 


399 


512 


40 


86 


143 


199 


280 


407 


521 


41 


89 


147 


204 


287 


415 


530 


42 


91 


151 


209 


293 


423 


538 


43 


94 


155 


214 


300 


431 


547 


44 


96 


159 


220 


306 


439 


555 


45 


99 


163 


225 


313 


447 


563 


46 


102 


167 


230 


319 


454 


571 


47 


104 


171 


235 


325 


462 


579 


48 


107 


174 


239 


382 


469 


587 


49 


109 


178 


244 


338 


476 


594 


50 


111 


182 


249 


343 


483 


601 


51 


114 


186 


254 


349 


490 


608 


52 


116 


189 


259 


355 


497 


615 


53 


119 


193 


263 


361 


504 


621 


54 


121 


197 


268 


367 


510 


628 


55 


123 


200 


272 


373 


517 


635 


56 


126 


204 


277 


378 


523 


642 


57 


128 


207 


281 


384 


529 


648 


58 


130 


211 


286 


389 


535 


656 


59 


133 


214 


290 


394 


541 


663 


60 


135 


218 


295 


399 


547 


671 


Northwestern Mutual, Per $1,000 Policy. 


25 


8 54 46 


8 90 96 


$127 54 


8182 38 


8272 89 


8360 41 


26 


55 99 


93 45 


130 96 


187 07 


279 26 


368 07 


27 


57 56 


96 02 


134 45 


191 84 


285 72 


375 84 


28 


59 17 


98 65 


138 01 


196 71 


292 24 


383 71 


29 


60 82 


101 32 


141 66 


201 63 


298 85 


391 65 


30 


62 53 


104 06 


145 38 


206 63 


305 54 


399 61 


31 


64 25 


106 87 


149 18 


211 69 


312 36 


407 57 


32 


66 01 


109 72 


153 01 


216 81 


319 25 


415 52 


33 


67 83 


112 63 


156 91 


222 00 


326 25 


423 44 


34 


69 69 


115 60 


160 87 


227 29 


333 33 


431 32 


35 


71 59 


118 62 


164 90 


232 65 


340 42 


439 13 


36 


73 49 


121 65 


168 96 


238 11 


347 51 


446 85 


37 


75 45 


124 75 


173 12 


243 65 


354 58 


454 47 


38 


77 41 


127 90 


177 34 


249 28 


361 62 


461 97 


39 


79 45 


131 14 


181 66 


254 97 


368 63 


469 35 


40 


81 51 


134 42 


186 04 


260 66 


375 55 


476 57 


41 


83 64 


137 79 


190 50 


266 35 


382 41 


483 66 


42 


85 79 


141 19 


194 98 


272 00 


389 15 


490 57 


43 


87 99 


144 64 


199 45 


277 59 


395 77 


497 32 


44 


90 19 


148 09 


203 87 


283 12 


402 24 


503 89 


45 


92 43 


151 52 


208 24 


288 56 


408 58 


510 28 


46 


94 65 


154 88 


212 54 


293 89 


414 76 


516 45 


47 


96 84 


158 20 


216 78 


299 13 


420 79 


522 42 


48 


98 98 


161 44 


220 92 


304 25 


426 67 


528 15 


49 


101 06 


164 63 


225 00 


309 26 


432 39 


533 63 


50 


103 12 


167 78 


229 01 


314 19 


437 99 


53S 86 


51 


105 18 


170 91 


232 97 


319 03 


443 42 


543 81 


52 


107 22 


174 00 


236 89 


323 79 


448 70 


54S 50 


53 


109 24 


177 C5 


240 75 


328 46 


453 81 


553 00 


54 


111 24 


180 07 


244 55 


333 05 


458 70 


557 39 


55 


113 22 


183 05 


248 29 


337 55 


463 37 


561 81 


56 


115 19 


186 00 


251 97 


341 94 


467 SO 


566 36 


57 


117 15 


188 91 


255 61 


346 20 


471 98 


571 14 


58 


119 08 


191 77 


259 18 


350 32 


476 01 


575 21 


59 


120 96 


194 59 


262 63 


354 25 


479 98 


581 62 


60 


122 83 


197 35 


265 99 


357 99 


484 04 


587 39 


* This C 


ompany issues the above paid-up values only upon application made for it by the 


insured, wi 


tlun six months after the premium falls due. The laws of the State of New York 


require all 
falling due. 


lite companies doing business in that State to send 30 davs' notice of premium 



77 





Paid-up Non-participating Insurance. 






* Equitable, Per $1,000 Policy. 








LIFE PLAN. 




_Age at 

Issue of 


i 


At the End of the Following- Years. 




Original 
















Policy, 


3rd Year, 


5th Year. 


7th Year, j 10th Year. 


15th Year. 


20th Year. 


25 


S HO 


8 83 


$116 SI 66 


S247 


$322 


26 


51 


85 


119 


170 


252 


328 


27 


53 


88 


122 


174 


257 


334 


28 


54 


90 


126 


178 


262 


340 


29 


56 


92 


]29 


182 


268 


316 


30 


57 


95 


132 


187 


273 


352 


31 


59 


97 


135 


191 


279 


358 


32 


60 


100 


138 


195 


284 


363 


33 


61 


102 


142 


199 


289 


369 


34 


63 


105 


145 


204 


295 


374 


35 


65 


107 


148 


208 


300 


380 


36 


67 


310 


152 


212 


305 


385 


37 


68 


112 


155 


217 


310 


390 


38 


70 


115 


159 


221 


315 


395 


39 


71 


118 


162 


225 


320 


400 


40 


73 


120 


165 


230 


325 


404 


41 


75 


123 


169 


234 


330 


409 


42 


77 


126 


172 


238 


334 


412 


43 


78 


128 


176 


242 


338 


418 


44 


80 


131 


179 


246 


343 


422 


45 


82 


134 


182 


250 


347 


426 


46 


84 


136 


185 


253 


351 


430 


47 


85 


138 


188 


257 


354 


433 


48 


87 


141 


191 


260 


358 


437 


49 


88 


143 


194 


263 


362 


449 


50 


90 


145 


196 


267 


365 


461 


51 


"91 


147 


199 


270 


369 


472 


52 


93 


149 


202 


274 


372 


484 


53 


94 


151 


204 


276 


375 


496 


54 


95 


153 


207 


279 


386 


507 


55 


97 


155 


209 


282 


396 


519 


56 


98 


157 


212 


284 


406 


530 


57 


100 


159 


214 


287 


417 


542 


58 


101 


161 


216 


290 


427 


554 


59 


102 


163 


218 


298 


437 


567 


60 


103 


165 


221 


306 


447 


580 . 




*N 


ew York Life, Per $1,000 Policy. 




Age at 
Issue of 




At the End of the Following Years. 




Original 
Policy. 








3rd Year. 


5th Year. 


6th Year. 7th Year. 


8th Year. 


9th Year. 


25 


3 50 


$84 


$100 $117 


$133 


$149 


26 


52 


85 


102 


119 


136 


152 


27 


53 


88 


105 


123 


140 


158 


28 


55 


90 


108 


125 


143 


160 


29 


56 


93 


111 


129 


147 


165 


30 


57 


95 


113 


132 


150 


169 


31 


58 


98 


116 


135 


154 


173 


32 


59 


100 


119 


138 


158 


177 


33 


62 


102 


122 


141 


160 


180 


34 


63 


105 


125 


145 


165 


185 


35 


65 


107 


128 


149 


169 


189 


36 


66 


110 


130 


151 


172 


193 


37 


68 


113 


134 


155 


176 


197 


38 


70- 


116 


138 


159 


180 


200 


39 


71 


118 


140 


162 


184 


205 


40 


73 


120 


143 


166 


187 


209 


41 


75 


122 


146 


169 


190 


212 


42 


76 


126 


149 


172 


295 


217 


43 


78 


128 


151 


175 


198 


221 


44 


81 


131 


155 


180 


202 


225 


45 


S2 


133 


158 


182 


205 


227 


46 


84 


136 


161 


185 


208 


231 


47 


85 


138 


163 


188 


211 


234 


48 


87 


140 


165 


191 


214 


237 


49 


88 


144 


168 


193 


217 


242 


50 


90 


145 


171 


196 


220 


244 


51 


91 


147 


173 


199 


225 


250 


52 


92 


150 


176 


201 


228 


256 


53 


94 


151 


179 


207 


236 


264 


54 


95 


153 


182 


212 


241 


270 


55 


97 


157 


187 


217 


247 


278 


56 


98 


162 


193 


224 


255 


285 


57 


100 


166 


198 


230 


261 


292 


58 


103 


170 


203 


236 


267 


299 


59 


106 


175 


208 


241 


273 


305 


60 


110 


179 


213 


247 


279 


310 


*ThisC 


oiapany issue 


s the above paid-up values only upon application made 
bs after the premium falls due.' The laws of the State 


for it by The 


insure.-!, wi 


hin six mont 


of New York 


require all. 


life cornpanie 


s doing business in that State to send 30 days' notice 


of premium 


falling due, 




.„, „ 





78 



Cash Surrender Values 



Guaranteed on Tontine and Semi-Tontine Policies of $1,000 each, by the Northwestern 
Mutual, issued since 1SS5. being the Reserve Combined Actuaries table of mortality and 
four per cent, interest. Prior to 18S5 the American Experience and four and one-half per 



■ cent, reser 1 


e was guan 


mteea. 










TEN- YEAR CLASS. 


Age. 


Life. 


10 Paym't 
Life. 


15 Paym't 
Life. 


20 Pavm't 
Life. 


15 Year 
Eudowm't 


20 Year 

Endowrn' t. 


25 
26 
27 
28 
29 


$ 82 20 

91 76 

95 50 

99 43 

103 56 


$340 60 
34S 17 
355 99 
364 07 
372 42 


$254 21 
260 13 
266 24 
272 55 
279 06 


$170 58 
174 72 
179 00 
1S3 41 
187 97 


$585 92 
585 71 
585 47 
585 23 

-584 97 


$385 82 
385 62 
385 40 
385 20 
385 04 


30 
31 
32 
33 
34 


107 91 
112 51 
117 37 
122 50 
127 86 


3S1 04 
3S9 96 
399 18 
408 71 
418 52 


285 79 
292 75 
299 95 
307 39 
315 05 


192 71 
197 64 
202 76 
208 07 
213 56 


*584 70 
-5S4 44 
*584 21 
*583 99 
*583 79 


384 89 
384 76 
3S4 79 

384 87 

385 01 


35 

36 
37 
38 
39 


133 41 

139 13 
144 97 
150 S9 
156 89 


428 57 
438 S6 
449 35 
460 02 
470 88 


322 90 
330 90 
339 02 
347 24 
355 56 


219 IS 
224 8S 
230 62 
236 39 
242 16 


•-583 58 
-583 41 
*583 16 

*5S2 88 
*582 56 


385 17 

*385 47 

385 58 

*385 72 

-385 97 


40 
41 
42 
43 
44 


162 97 
169 09 
175 22 
181 37 
187 54 


481 91 
493 11 
504 46 
515 95 

527 57 


363 97 
372 44 

380 95 
389 48 
398 01 


247 91 
253 63 
259 27 
264 82 
270 29 


*581 23 

*581 66 
*582 05 
*580 33 
-579 49 


385 90 

385 90 

♦385 77 

*385 56 

*385 24 


45 
46 
47 
48 
49 


193 79 
*200 13 
*206 59 
*213 19 
*219 95 


539 31 
1 551 16 
563 10 
575 14 
587 26 


406 53 
415 01 
423 43 
431 78 
440 04 


275 69 
281 01 
28G 33 
291 61 
296 85 


*578 54 
-577 50 
*576 35 
-575 01 
*573 80 


*384 86 
*384 47 
*384 03 
-383 53 
*383 23 


59 
51 
52 
53 
54 


*226 84 
*233 82 
-240 88 
*248 00 
::; 255 18 


599 43 
611 63 
623 83 
636 00 
648 12 


448 21 
456 26 
464 18 
471 93 
479 50 


302 06 
307 18 
312 22 
317 10 
321 88 


*572 42 

*570 91 
*569 30 
*567 56 
*565 68 


*382 92 
*382 60 
-382 28 
-381 97 
*381 67 


55 


*262 35 


660 17 


486 84 


326 53 


*563 74 


*381 36 


FIFTEEN- YEAR CLASS. 


20-YEAR CLASS. 


Age. 


Life. 


15 Paym't 
Life. 


20 Paym't 
Life. 


20 Year 
Eudowm't. 


Life. 


20 Paym't 
Life. 


25 

26 
27 
28 
29 


$144 12 
J 49 99 
156 17 
162 65 
169 41 


$381 04 
389 96 
399 18 
4U8 71 
418 52 


$285 79 
292 75 
299 95 
307 39 
315 05 


$655 90 

665 68 

655 43 

*655 21 

-655 04 


$209 84 
218 13 
226 62 
235 31 
244 20 


$428 57 
43S 86 
449 35 

*469 02 

470 88 


30 
31 
32 
33 
34 


176 42 
183 65 
191 06 
196 65 
206 39 


42S 57 
438 86 
449 35 
460 02 
470 88 


322 90 
330 90 
339 02 
347 24 
355 56 


*654 72 
*654 64 
*654 44 
*654 23 
*653 98 


253 29 
262 57 
272 02 
281 65 
291 42 


481 91 
493 11 
504 46 
515 95 
527 57 


35 

36 
37 
38 
39 


214 30 
222 36 
230 54 

238 83 
247 22 


481 91 
493 11 
504 46 
515 95 
527 57 


363 97 
372 44 
380 95 
389 48 
398 01 


-653 68 
*653 49 
*653 04 
*653 60 
-652 27 


301 35 
311 42 
321 60 
331 91 
342 33 


539 31 
551 16 

563 10 
575 14 

587 26 


40 
41 
42 

8 


255 70 

264 25 

272 83 

*281 47 

*290 19 


539 31 
551 16 
563 10 
575 14 

587 26 


406 53 
415 01 
423 43 
431 78 
440 04 


*651 54 
*650 90 
♦650 09 
*649 22 
*648 21 


352 84 
*363 37 
*373 90 
-384 39 
-394 86 


599 43 
611 63 
623 £3 
636 00 
648 12 


45 
46 
47 
48 
49 


-299 01 
-307 89 
*316 86 
*325 89 
*334 98 


599 43 
611 63 
623 83 
636 00 
648 12 


448 21 

456 26 

464 18 

*471 93 

*479 50 


*647 11 
-645 97 
*644 69 
*643 34 
*641 86 


-405 30 
-415 77 
-426 07 
*436 37 
-446 62 


660 17 
672 13 
683 96 
695 65 
707 19 


50 
51 
52 
53 
54 


*344 07 
-353 18 
*362 24 
-371 25 
*380 21 


660 17 
672 13 
683 96 
695 65 
707 19 


-486 84 
*493 93 
*500 76 
'-507 25 
*513 40 


-640 32 
*638 64 
*636 82 
*634 84 
*632 71 


*456 79 
*466 88 
-476 87 
*486 76 
*496 55 


*718 57 
*729 77 
*740 77 
*751 59 
*762 16 


55 


-389 11 


718 59 


*519 25 


*630 42 


*506 21 


*772 51 



* These figures in Northwestern Agents' Estimate book are erroneous. 



79 



Mutual Life 20 Year Distribution guarantees American four per cent, reserve. 



CASH VALUES guaranteed on Policies of $1,000 each, Tontine and Semi-Tontine Policies of 
the Equitable, Toutiue and Non-forfeiting Limited Tontine Policies of New York Life, 
issued prior to 18S6, on the Mutual Life 10, 15 and 20-year Distribution Policies, as now 
issued, being the Reserve American Experience table of mortality, and four and one-half 
per cent, interest. 



10-YEAR CLASS. 






Life, 10 


Life, 15 


Life, 20 


15- Year 


20- Year 


Age. 


Life. 


Annual 


Annual 


Annual 


Endow- 


Endow- 






Payrn'ts. 


Payrn'ts. 


Payrn'ts. 


ment. 


ment. 


25 


$ 73 08 


8293 35 


$192 85 


$144 49 


§577 09 


$373 58 


26 


76 63 


300 29 


197 83 


148 55 


576 99 


373 54 


27 


80 36 


307 51 


203 00 


152 77 


576 88 


373 51 


28 


84 28 


315 03 


208 38 


157 15 


576 77 


373 48 


29 


88 38 


322 83 


213 95 


161 69 


576 64 


373 45 


30 


92 67 


330 95 


219 73 


166 40 


576 51 


373 43 


31 


97 17 


339 37 


225 72 


171 28 


576 37 


373 42 


32 


101 89 


348 11 


231 93 


176 33 


576 21 


373 42 


33 


106 84 


357 19 


238 36 


181 57 


576 05 


373 44 


34 


112 03 


366 60 


245 01 


186 99 


575 88 


373 50 


35 


117 45 


376 35 


251 87 


192 59 


575 69 


373 59 


36 


123 11 


386 43 


258 96 


198 36 


575 50 


373 70 


37 


129 00 


396 85 


266 24 


204 30 


575 29 


373 86 


38 


135 14 


407 60 


273 73 


210 41 


575 07 


374 05 


39 


141 52 


418 67 


28141 


216 67 


574 84 


374 28 


40 


148 11 


430 04 


289 25 


223 04 


574 58 


374 54 


41 


154 89 


441 69 


297 22 


229 52 


574 29 


374 81 


42 


161 85 


453 63 


305 31 


236 08 


573 94 


375 08 


43 


168 99 


465 82 


313 49 


242 70 


573 55 


375 36 


44 


176 28 


478 26 


321 75 


249 36 


573 09 


375 64 


45 


183 72 


490 92 


330 06 


256 05 


572 56 


375 90 


46 


191 29 


503 80 


338 38 


262 73 


571 93 


376 15 


47 


198 98 


516 87 


346 70 


269 39 


571 22 


376 39 


48 


206 79 


530 10 


355 00 


276 01 


570 40 


376 62 


49 


214 71 


543 48 


363 23 


282 59 


569 47 


376 84 


50 


222 74 


556 99 


371 40 


289 11 


568 43 


377 07 


51 


230 87 


570 59 


379 45 


295 56 


567 26 


377 32 


52 


239 09 


584 26 


387 37 


301 92 


565 97 


377 59 


53 


247 39 


597 97 


395 13 


308 18 


564 54 


377 89 


54 


255 76 


611 70 


402 68 


314 34 


562 96 


378 24 


55 


264 19 


625 42 


410 01 


320 37 


561 23 


378 62 


56 


272 62 


639 08 


417 06 


326 23 


559 32 




57 


281 06 


652 65 


423 80 


331 92 


557 24 




58 


289 45 


666 11 


430 20 


337 38 


554 95 




59 


297 76 


679 42 


436 17 


342 59 


552 43 




60 


305 98 


692 54 


441 70 


347 52 


549 65 





PRESENT CASH VALUES guaranteed on Policies of $1,000 each, Tontine, Semi-Tontine and 
Free Tontine Policies of Equitable, and Tontine and Non-forfeiting Limited Tontine 
Policies of the New York Life, being the Reserve American Experience table of mortality 
and four per cent, interest. 



34 



37 



$80 82 


$328 81 


$216 97 


$162 83 


$585 47 


84 50 


336 02 


222 11 


166 99 


585 36 


88 35 


343 50 


227 42 


171 30 


585 26 


92 39 


351 24 


232 92 


175 75 


585 14 


96 60 


359 27 


238 61 


180 35 


585 J)2 


101 01 


367 57 


244 49 


185 10 


584 88 


105 62 


376 17 


250 55 


190 01 


584 74 


110 44 


385 06 


256 82 


195 07 


584 58 


115 48 


394 25 


263 27 


200 29 


584 41 


120 76 


403 75 


269 93 


205 69 


584 24 


126 26 


413 56 


276 78 


211 23 


584 05 


131 99 


423 66 


283 82 


216 94 


583 85 


137 95 


434 06 


291 04 


222 79 


583 64 


144 15 


444 76 


298 44 


228 78 


583 41 


150 57 


455 74 


305 99 


234 90 


583 18 


157 19 


466 99 


313 68 


241 12 


582 91 


164 01 


478 48 


321 47 


247 41 


582 61 


170 99 


490 21 


329 35 


253 77 


582 26 


178 13 


502 15 


337 30 


260 16 


581 85 


185 42 


514 31 


345 29 


266 57 


581 38 


192 85 


526 65 


353 30 


272 98 


580 83 


200 39 


539 15 


361 30 


279 37 


580 19 


208 05 


551 81 


369 27 


285 72 


579 46 


215 81 


564 59 


377 18 


292 01 


578 63 


223 68 


577 48 


385 01 


298 23 


577 68 


231 64 


590 46 


392 74 


304 38 


576 61 


239 70 


603 49 


400 34 


310 44 


575 43 


247 85 


616 56 


407 78 


316 41 


574 11 


256 05 


629 63 


415 03 


322 26 


572 64 


264 32 


642 69 


422 06 


327 98 


571 03 


272 64 


655 70 


428 85 


333 57 


569 26 


280 95 


668 63 


435 35 


338 99 


567 32 


289 26 


681 45 


441 52 


344 22 


565 19 


297 53 


694 14 


447 33 


349 23 


562 85 


305 70 


706 65 


452 71 


353 97 


660 28 


313 77 


718 96 


457 64 


358 43 





$384 81 
384 76 
384 72 
384 68 
384 64 
384 61 
384 59 
384 58 
384 59 
384 63 
384 69 
384 79 

384 92 

385 09 
385 29 
385 51 
385 74 

385 97 

386 20 
386 42 
386 63 
386 81 

386 98 

387 13 
387 26 
387 40 
387 55 
387 71 

387 89 

388 10 
388 34 



Note.— The reserve values in the New York Life on some of the above ages varies one cent 
either larger or smaller than the figures given in table. 



80 



Mutua 



1 Life 20 Year Distribution guarantees American four per cent, reserve, 



CASH VALUES guaranteed on Policies of $1,000 each, Tontine and Semi-Tontine Policies of 
the Equitable, Tontine and Non-forfeiting Limited Tontine Policies of New York Life, 
issued prior to 1SS6, on the Mutual Life 10, 15 and 20-year Distribution Policies, as now 
issued, being the Reserve American Experience table of mortality, and four and one-half 
per cent, interest. 



15 YEAR CLASS. 


20-Y'r Class 






Life, 15 


Life, 20 


20-Year 




Life, 20 


Age. 


Life. 


Annual 


Annual 


Endow- 


Life 


Annual 






Paym'ts. 


Paym'ts. 


ment. 




Paym'ts. 


25 


8122 39 


$330 95 


$246 74 


$645 65 


$1S1 94 


$376 35 


26 


12S 19 


339 37 


253 50 


645 53 


190 30 


3^6 43 


27 


134 28 


348 11 


260 53 


645 41 


199 00 


396 85 


28 


140 64 


357 19 


267 80 


645 28 


208 03 


407 60 


29 


147 30 


366 60 


275 34 


645 15 


217 39 


41S 67 


30 


154 24 


376 35 


283 12 


645 00 


227 05 


430 04 


31 


1G1 49 


386 43 


291 16 


644 87 


237 02 


441 69 


32 


169 03 


396 85 


299 45 


644 72 


247 26 


453 63 


33 


176 88 


407 60 


307 97 


644 58 


257 77 


465 82 


34 


185 02 


418 67 


316 73 


644 43 


268 56 


478 26 


35 


193 43 


430 04 


325 68 


644 27 


279 59 


490 92 


36 


202 08 


441 69 


834 82 


644 09 


290 85 


503 80 


37 


211 00 


453 63 


344 12 


643 88 


302 32 


516 87 


38 


220 14 


465 82 


353 56 


643 65 


313 99 


530 10 


39 


229 52 


478 26 


363 13 


643 40 


325 84 


543 48 


40 


239 11 


490 92 


372 81 


643 10 


337 85 


556 99 


41 


248 90 


503 80 


382 56 


642 75 


350 00 


570 59 


42 


258 87 


516 87 


392 36 


642 35 


362 25 


584 26 


43 


268 99 


530 10 


402 19 


641 89 


374 58 


597 97 


44 


279 26 


543 48 


412 00 


641 35 


386 96 


611 70 


45 


289 65 


556 99 


421 78 


640 74 


399 37 


625 42 


46 


300 14 


570 59 


431 49 


640 03 


411 76 


639 08 


47 


310 72 


584 26 


441 09 


639 23 


424 11 


652 65 


48 


321 36 


597 97 


450 56 


638 33 


436 39 


666 11 


49 


332 05 


611 70 


459 86 


637 32 


448 54 


679 42 


50 


342 79 


625 42 


468 97 


636 20 


460 56 


692 54 


51 


353 54 


639 08 


477 84 


634 97 


472 41 


705 44 


52 


364 27 


652 65 


486 46 


633 62 


484 08 


718 11 


53 


374 96 


666 11 


494 76 


632 15 


495 61 


730 56 


54 


385 55 


679 42 


502 71 


630 52 


507 07 


742 82 


55 


396 04 


692 54 


510 27 


628 72 


518 57 


754 92 


56 


406 37 


705 44 


517 38 




530 21 


766 89 


57 


416 55 


718 11 


523 99 




542 OS 


778 76 


58 


426 61 


730 56 


530 12 




554 26 


790 55 


59 


436 64 


742 82 


535 SO 




566 77 


802 22 


60 


446 78 


754 92 


541 10 




579 68 


813 80 



PRESENT CASH VALUES guaranteed on Policies of $1,000 each, Tontine, Semi-Tontine and 
Free Tontine Policies of Equitable, and Tontine and Non-forfeiting Limited Tontine 
Policies of the New York Life, being the Reserve American Experience table of morsality 
and four per cent, interest. 



27 



$133 91 


139 85 


146 07 


152 55 


159 32 


166 37 


173 71 


181 33 


189 24 


197 43 


205 87 


214 55 


223 47 


232 61 


241 97 


251 52 


261 26 


271 16 


281 20 


291 37 


301 66 


312 02 


322 46 


332 95 


343 48 


354 05 


364 61 


375 14 


385 63 


396 01 


406 28 


416 39 


426 34 


436 18 


445 98 


455 88 



$367 57 
376 17 
385 06 
394 25 
403 75 
413 56 
423 66 
434 06 
444 76 
455 74 
466 99 
478 48 
490 21 
502 15 
514 31 
526 65 
539 15 
551 81 
564 59 
577 48 
590 46 
603 49 
616 56 
629 63 
642 69 
655 70 
668 63 
681 45 
694 14 
706 65 
718 96 
731 05 
742 89 
754 50 
765 92 
777 16 



$274 66 


$655 62 


$196 87 


281 52 


655 50 


205 34 


288 61 


655 37 


214 12 


295 92 


655 24 


223 22 


303 47 


655 10 


232 63 


311 24 


654 96 


242 33 


319 24 


654 82 


252 30 


327 45 


654 66 


262 54 


335 87 


654 51 


273 04 


344 49 


654 35 • 


283 78 


353 28 


654 18 


294 75 


362 21 


653 99 


305 93 


371 28 


653 77 


317 30 


380 46 


653 53 


328 85 


389 73 


653 25 


340 57 


399 07 


652 93 


352 42 


408 46 


652 57 


364 40 


417 86 


652 14 


376 45 


427 25 


651 66 


388 57 


436 61 


651 09 


400 73 


445 90 


650 45 


412 91 


455 09 


649 71 


425 04 


464 14 


648 87 


437 13 


473 04 


647 92 


449 13 


481 75 


646 86 


461 00 


490 25 


645 70 


472 73 


498 49 


644 41 


484 29 


506 45 


643 01 


495 66 


514 10 


641 46 


506 88 


521 37 


639 76 


518 04 


528 25 


637 88 


529 23 


534 67 




540 55 


540 60 




552 11 


546 03 




563 95 


551 01 




576 13 


555 60 




588 70 



$413 56 
42; 66 
434 06 
444 76 
455 74 
466 99 
478 48 
490 21 
502 15 
514 31 
526 65 
539 15 
551 81 
564 59 
577 48 
590 46 
603 49 
616 56 
629 63 
642 69 
655 70 
668 63 
681 45 
694 14 
706 65 
718 96 
731 05 
742 89 
754 50 
765 92 
777 16 
788 26 
799 26 
810 14 
820 91 
831 55 



NOIH!. — The reserve values in the New York Life on some of the above ages varies one 
cent either larger or smaller than the figures given in table. 



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